Illinois Medicaid skilled nursing rates
Illinois Medicaid pays $248.95 for nursing home stay (daily rate) delivered by a agency provider, effective October 1, 2026, the 11th highest of 18 states with comparable rates.
- Nursing home stay (daily rate)
- $248.95
- Rank among states
- 11 of 18-7.4% vs median
- Registered nurse median wage
- $46.15BLS May 2025
- Illinois minimum wage
- $15.00
Illinois skilled nursing rates vs other states
Fee-for-service, like-for-like by provider level. Click a rate to open Illinois's official fee schedule.
| Service | Provider level | Code | IL rate | Unit | Per hour | Rank | Median across states | Lowest | Highest | States |
|---|---|---|---|---|---|---|---|---|---|---|
| Nursing home stay (daily rate) | Agency provider | $248.95 | — | — | 11 of 18 | $268.93 | $11.34 | $826.00 | 18 | |
| Hospice room and board in a nursing home | All levels | Not published | $294.00/day | $196.85 | $1,051.23 | 5 | ||||
Nursing home stay (daily rate): where Illinois ranks
States whose published unit can't be converted are left out of the ranking.
| # | State | Rate | Unit | Per hour | Effective |
|---|---|---|---|---|---|
| 1 | New Mexico | $826.00 | — | — | 2026-07-01 |
| 2 | Colorado | $419.22 | — | — | 2025-10-01 |
| 3 | Washington | $373.84 | — | — | 2026-07-01 |
| 4 | Maryland | $351.63 | — | — | 2026-07-01 |
| 5 | North Carolina | $326.33 | — | — | 2022-11-01 |
| 6 | California | $324.03 | — | — | 2026-01-01 |
| 7 | Nebraska | $321.16 | — | — | 2026-07-01 |
| 8 | Mississippi | $285.90 | — | — | 2026-04-01 |
| 9 | New Jersey | $282.59 | — | — | 2026-07-01 |
| 10 | Pennsylvania | $255.27 | — | — | 2025-04-01 |
| 11 | Illinois | $248.95 | — | — | 2026-10-01 |
| 12 | Oklahoma | $246.26 | — | — | 2026-07-01 |
| 13 | Wisconsin | $226.35 | — | — | 2016-01-01 |
| 14 | Missouri | $210.39 | — | — | 2024-01-01 |
| 15 | Connecticut | $107.21 | — | — | 2021-07-01 |
| 16 | Michigan | $99.90 | — | — | 2026-01-01 |
| 17 | Arkansas | $70.00 | — | — | 2025-07-01 |
| 18 | Kentucky | $11.34 | — | — | 2026-01-01 |
What it costs to deliver in Illinois
Median hourly wages from the BLS Occupational Employment and Wage Statistics survey (May 2025).
| Role | IL median | US median | vs US |
|---|---|---|---|
| Registered nurse | $46.15 | $46.90 | -1.6% |
| Licensed practical nurse | $36.06 | $30.96 | +16.5% |
| Nursing assistant (CNA) | $22.10 | $20.32 | +8.8% |
Recent Illinois skilled nursing rate changes
| Change | Status | Change | Effective |
|---|---|---|---|
| CMS approves Illinois SDP IL_Fee_NF_Renewal_20260101-20261231 | approved_cms | — | 2026-01-01 |
| CMS approves Illinois SDP IL_Fee_NF2_Renewal_20250101-20251231 | approved_cms | — | 2025-01-01 |
| HFS provider notice prn240718b: Nursing Facility Support Component Rate Increase and Ventilator Add-on Rate Increase Effective January 1, 2024 | effective | +131.3% | 2024-01-01 |
| CMS approves Illinois SDP IL_Fee_NF2_Amend_20240101-20241231 | approved_cms | — | 2024-01-01 |
| CMS approves Illinois SDP IL_Fee_NF2_Renewal_20240101-20241231 | approved_cms | — | 2024-01-01 |
| CMS approves Illinois SDP IL_Fee_NF2_Amend_20230101-20231231 | approved_cms | — | 2023-01-01 |
| CMS approves Illinois SDP IL_Fee_NF2_Renewal_20230101-20231231 | approved_cms | — | 2023-01-01 |
| HFS public notice 12/01/2022 - Public Notice - Nursing Facility Rate Increase | proposed | — | 2022-12-01 |
| HFS public notice 01/31/2022 - Public Notice - Nursing Facility Rates | proposed | — | — |
| CMS approves Illinois SDP IL_Fee_NF2_Amend_20220101-20221231 | approved_cms | — | 2022-01-01 |
The workspace adds every modifier, region and provider variant, full rate history, proposed changes, coverage and prior-authorization rules, managed-care plans and a unit-economics calculator. All of it is available through the API.
Rates are taken from Illinois's official Medicaid publications, and each one links to its source. Confirm with the payer before billing. Managed-care plans may pay differently from fee-for-service.