MEDICAID-MC/DD RATE INCREASES
The implementation of HB2370 will directly affect facilities licensed under the ID/DD Community Care Act that provide care for residents with significant medical complexities. By increasing the funding for these facilities, the bill aims to enhance the quality of care and support provided to patients who require extensive medical attention. Moreover, it ensures that any reimbursement increases applicable to the base rates for these providers must also reflect equally across all tiers of exceptional care per diem rates, thus maintaining parity in reimbursement standards.
House Bill 2370, introduced by Rep. Robyn Gabel, amends the Medical Assistance Article of the Illinois Public Aid Code, specifically to address the reimbursement rates for medically complex facilities serving developmentally disabled patients. Starting January 1, 2024, the bill mandates a 6% increase in the tiered exceptional care per diem rates over the existing amounts as of December 31, 2023. This change is expected to provide more financial resources to these facilities, allowing them to better meet the complex needs of some of Illinois' most vulnerable populations.
While there may be broad support for increased funding for developmentally disabled facilities, the bill might face scrutiny regarding its long-term sustainability and the source of the necessary funding increases. Stakeholders might express concerns about ensuring that the funding will be adequate to address the rising costs of healthcare and the specialized care necessary for these patients. Additionally, there could be negotiations on whether these increases will sufficiently cover the operational costs that facilities incur while providing high-quality services.