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Attention Medicaid SNF/LTC Providers: Amendment to Address Retroactive Minimum Data Set Rates

Posted January 5, 2018

Blue Cross and Blue Shield of Illinois (BCBSIL) has developed an amendment to address and update the retroactive minimum data set language in its Skilled Nursing Facility (SNF) and Long-Term Care (LTC) Medicaid Provider Agreements (Provider Agreement(s)). 

BCBSIL will be mailing amendments to SNF and LTC providers with previously executed Provider Agreements, as well as to SNF and LTC providers that have yet to execute Provider Agreements. The section of the Provider Agreement that will be amended is located in Exhibit I of the Agreement, titled, “For Hospital or Ancillary Facility or DASA.” 

In addition, BCBSIL is currently reviewing its Provider Agreements to further align with IHFS requirements, which review may result in additional amendments. 

If you have questions or need additional assistance related to the above issue, please contact BCBSIL via email or phone at: