Effective for dates of service
on and after July 1, 2019, a $10 per day add-on is applied to all single occupancy
room claims. The add-on rate is
available only for rooms licensed through the Illinois Department of Public
Health for single occupancy. Claims for
individuals living in rooms licensed for multiple occupancy are not eligible
for the add-on payment.
To receive the add-on payment,
SMHRF providers must bill using Revenue Code 0110. Leave of absence (bed reserve) days are not
eligible for the add-on rate.
Healthcare and Family Services
has finalized the system changes necessary to pay the add-on rate for
fee-for-service claims. Claims already
submitted to the Department with dates of service on and after July 1, 2019 and
a revenue code of 0110 will be repriced and paid the add-on amount.
regarding payment by Managed Care plans should be directed to the appropriate
Questions regarding this notice
may be directed to the Bureau of Long Term Care at
of Medical Programs