§240.728. Maximum Payment Levels for Person-Centered Plans of Care Including In-home Service  


Latest version.
  • Maximum monthly service dollars are calculated according to the participant's total DON score and approved person-centered plan of care for in-home service or other combination of options, excluding adult day service.  These maximum monthly service dollars will be adjusted by the Department to be consistent with any future unit rate adjustments for CCP providers.

     

    DON SCORE

    SERVICE MAXIMUM LEVEL

    (Effective on and after January 1, 2022)

    29

    $    627

    30

    701

    31

    777

    32

    852

    33

    926

    34

    1,002

    35

    1,077

    36

    1,150

    37

    1,226

    38

    1,301

    39

    1,375

    40

    1,451

    41

    1,526

    42

    1,599

    43

    1,676

    44

    1,750

    45

    1,827

    46

    1,899

    47

    1,975

    48

    2,051

    49

    2,123

    50

    2,200

    51

    2,275

    52

    2,350

    53

    2,424

    54

    2,496

    55

    2,573

    56

    2,648

    57

    2,725

    58

    2,797

    59

    2,874

    60

    2,949

    61

    3,022

    62

    3,098

    63

    3,174

    64

    3,247

    65

    3,322

    66

    3,399

    67

    3,471

    68

    3,547

    69

    3,622

    70

    3,696

    71

    3,772

    72

    3,847

    73

    3,920

    74

    3,997

    75

    4,071

    76

    4,147

    77

    4,221

    78

    4,296

    79

    4,372

    80

    4,444

    81

    4,521

    82

    4,596

    83

    4,671

    84

    4,745

    85

    4,822

    86

    4,895

    87

    4,969

    88

    5,046

    89

    5,118

    90

    5,195

    91

    5,270

    92

    5,343

    93

    5,419

    94

    5,495

    95

    5,568

    96

    5,643

    97

    5,720

    98

    5,792

    99

    5,868

    100

    5,944

     

(Source:  Amended at 46 Ill. Reg. 12492, effective July 1, 2022)