PROPOSED CHANGES IN METHODS AND STANDARDS
FOR ESTABLISHING MEDICAL ASSISTANCE PAYMENT RATES
STATE OF ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
The Illinois Department of Healthcare and Family Services (HFS) is proposing a change in the methods and standards for setting payment rates for providers of mental health services. The proposed change is effective for dates of service January 1, 2022 and after.
The proposed change provides for an increase in Medicaid reimbursement rates for mental health services. The rate in effect on December 31, 2021 will increase by 2% effective January 1, 2022 for all mental health services except for assertive community treatment (ACT) services. ACT service rates will be increased by 5% effective January 1, 2022.
This proposed change will result in an annual increase in Medicaid liability of $8.7 million for services provided through fee-for-service or through managed care organizations. 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 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.firstname.lastname@example.org
This notice may be viewed at the DHS local offices (except Cook County). In Cook County, the notice and clarification 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
This notice is being provided in accordance with federal requirements found at 42 CFR 447.205.