Volume XV, Issue IX - November 2021

From:  David T. Jones, Director
Division of Substance Use Prevention and Recovery

Rate Increase for Non-Medicaid SUD Services

The Illinois Department of Human Services/Division of Substance Use Prevention and Recovery (IDHS/SUPR) is implementing a rate increase for non-Medicaid services. The rate increase is intended to reflect current average services costs and increase utilization of recovery supports for all phases of intervention and treatment. The increases will also provide funded organizations opportunities to address social determinants of health.

There is recognition that with few exceptions, the non-Medicaid service rate has remained flat since inception. The adjustment is part of a phased approach to address the long-standing rate discrepancy.

These rates are effective as of July 1, 2021

SUD Services Current Rate Rate Increase
Community Intervention (CI) $50.60 $65.00
Recovery Support (RS) $51.84 $65.00
Level 3.1 Clinically Managed Low Intensity Residential $71.97 $90.00
Adult Recovery Home (RH) $55.92 $75.00
Adolescent Recovery Home $141.99 $175.00
Child Domiciliary $54.06 $75.00
Toxicology $10.10 $11.00
Interpreter Services $51.44 $65.00

To determine these increases, IDHS/SUPR reviewed the current non-Medicaid covered service rates and concurrently examined unencumbered SABG funding.

The new rates are only considered temporary, pending a more thorough review of all IDHS/SUPR rates. The adjustment of SUD rates has followed a phased process.

The first phase was completed two years ago with a rate study that concluded with an adjustment of residential rates. Today's announcement concludes the second phase, an adjustment to the recovery-oriented SUD rates.

The final phase will include engaging an actuary along with SUPR funded organizations to help establish new-sustainable SUD rates in Illinois.