PROPOSED CHANGES IN METHODS AND STANDARDS FOR ESTABLISHING MEDICAL ASSISTANCE PAYMENT RATES

STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES

 Pursuant to PA 102-0043, the Illinois Department of Healthcare and Family Services is proposing a change in the methods and standards by which the Department will reimburse providers. The proposed change is effective for dates of service on or after January 1, 2022.

The Department is proposing to remove the 60-day detox readmission prohibition for clients who present at a hospital for alcohol or drug-induced detoxification if that client was discharged from a hospital within 60 days for treatment of such services.

The Department estimates this change will increase expenditures by $26 million. The proposed change is subject to approval by the federal Centers for Medicare and Medicaid Services and may be modified or revised during the approval process.

Any interested party may submit questions or comments concerning these proposed changes in reimbursement methods and standards. All questions or comments must be submitted in writing within thirty (30) days of the publication date of this notice and addressed to:

Bureau of Program and Policy Coordination

Division of Medical Programs Healthcare and Family Services

201 South Grand Avenue East

Springfield, IL 62763-0001

E-mail address: HFS.bpra@illinois.gov

The notice may be viewed at the DHS local offices (except in Cook County). In Cook County, the notice may be reviewed at the Office of the Director, Illinois Department of Healthcare and Family Services, 401 South Clinton Street, 1st Floor, Chicago, Illinois. Comments received regarding this notice shall be published on the HFS web site at http://www.illinois.gov/hfs/info/legal/PublicNotices/Pages/.

 

This notice is being provided in accordance with federal requirements found at 42 CFR 447.205

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