HB5061

Illinois HB5061 amends Medicaid reimbursement rates for nursing facilities, introducing new payment models and adjustments.

Illinois HB5061 amends the Medicaid reimbursement rates for nursing facilities, introducing new payment models and adjustments. The bill mandates the Department of Healthcare and Family Services to recompute the STAR rating for nursing facilities affected by federal audit actions. It establishes a new reimbursement methodology based on the Patient Driven Payment Model (PDPM) and requires quality payments based on recomputed scores. The bill also sets up per diem add-on payments to improve care quality and adjusts staffing rates based on federal staffing reports.