- Published: Monday, June 06, 2022 10:22 AM
CHICAGO – To improve conditions at nursing homes across Illinois, a new law to reform how the state assesses and reimburses nursing facilities, and link funding to staffing levels and quality of care, co-sponsored by State Senator Jacqueline Collins, was signed into law last week.
“Even before the onset of the COVID-19 pandemic, nursing homes were struggling,” said Collins (D-Chicago). “From understaffing to poor quality of care, our state’s older adults have endured a grave disadvantage of care.”
House Bill 246 includes the most recent efforts by the state to implement needed change at nursing facilities. The legislation overhauls the state’s nursing home assessment and reimbursement methods by transitioning to a Patient Driven Payment Model and increasing the base per diem rate by $7 to a total of $92.25. Under the current RUG-IV assessment model, nursing homes are incentivized to over-prescribe certain services, such as rehabilitative services, to increase their Medicaid reimbursement. The Patient Driven Payment Model more accurately accounts for clinically relevant factors, and brings Illinois in line with the federal Medicare model.