Illinois HB2858 amends Medicaid nursing facility rates, implementing a new reimbursement system based on the Patient Driven Payment Model (PDPM) and.
Illinois HB2858 introduces changes to Medicaid nursing facility rates, transitioning to a new reimbursement system based on the Patient Driven Payment Model (PDPM). This new system will be resident-centered, facility-specific, and cost-based, effective July 1, 2022, pending federal approval. The bill also adjusts staffing per diem add-ons, with facilities meeting certain staffing levels receiving higher add-ons. Additionally, it establishes a quality pool to reward quality improvements in care, with payments based on facility performance on specified quality measures.
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- Overview
- Core Provisions
- Implementation
- Impact
- Legal Framework
- Critical Issues
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