§240.729. Maximum Payment Levels for Person-Centered Plans of Care Including Adult Day Service  


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  • Maximum monthly service dollars are calculated according to the participant's total DON score and approved person-centered plan of care for adult day service or other combination of options including 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

    $  1,284

    30

    1,493

    31

    1,717

    32

    1,937

    33

    2,161

    34

    2,382

    35

    2,518

    36

    2,652

    37

    2,786

    38

    2,920

    39

    3,055

    40

    3,191

    41

    3,325

    42

    3,460

    43

    3,595

    44

    3,729

    45

    3,865

    46

    4,000

    47

    4,135

    48

    4,268

    49

    4,403

    50

    4,538

    51

    4,673

    52

    4,809

    53

    4,941

    54

    5,076

    55

    5,212

    56

    5,344

    57

    5,481

    58

    5,615

    59

    5,750

    60

    5,884

    61

    6,019

    62

    6,154

    63

    6,287

    64

    6,424

    65

    6,557

    66

    6,693

    67

    6,830

    68

    6,961

    69

    7,098

    70

    7,233

    71

    7,367

    72

    7,502

    73

    7,637

    74

    7,771

    75

    7,905

    76

    8,041

    77

    8,175

    78

    8,311

    79

    8,445

    80

    8,578

    81

    8,714

    82

    8,849

    83

    8,983

    84

    9,118

    85

    9,254

    86

    9,386

    87

    9,522

    88

    9,656

    89

    9,789

    90

    9,926

    91

    10,059

    92

    10,196

    93

    10,332

    94

    10,463

    95

    10,600

    96

    10,735

    97

    10,870

    98

    11,004

    99

    11,138

    100

    11,273

     

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