HB4851

Illinois Medicaid-Muir Rate-VA Care bill modifies Medicaid inpatient utilization rates for hospitals.

The Illinois Medicaid-Muir Rate-VA Care bill amends the Illinois Public Aid Code to modify the Medicaid inpatient utilization rate used in determining eligibility for inpatient adjustment payments. Effective October 1, 2026, the new rate excludes days of care funded by the U.S. Department of Veterans Affairs. The bill also outlines criteria for calculating inpatient adjustment payments based on hospitals' Medicaid inpatient utilization rates. Hospitals with rates below the mean receive a $25 per day adjustment, while those with rates equal to or above the mean receive higher payments.