IL HB5139

Establishes an annual property tax adjustment paid by the Department of Healthcare and Family Services to qualified nursing homes and mental health rehabilitation facilities based on their percentage of Medicaid bed days applied to their property tax bill.

Requires facilities to submit their annual property tax obligation and Medicaid bed day percentage through an electronic portal within 60 days of county notification.

Directs the Department to audit facility submissions within 60 days and pay approved adjustments as a lump sum to the facility.

Amends the Illinois Public Aid Code to add this new property tax adjustment provision to Section 5-5.2 while maintaining existing nursing home payment methodologies including PDPM reimbursement rates, staffing add-ons, and quality-based payments.