These discussions have centered on the transition to the Patient Driven Payment Model (PDPM) used by Medicare, as well as to tying nursing home payments to staffing and other measures that increase quality care and safety for residents. The Department recommends funding these enhancements through a combination of streamlining and increasing the nursing home assessment and using one-time funding to address pandemic-related safety improvements.HFS serves roughly 45,000 Medicaid customers who are nursing home residents across the state. Medicaid is the largest payor of nursing facility days both in Illinois and in the country. Medicaid pays for roughly 60% of nursing facility days in Illinois. As required by law, HFS has issued the report detailing these recommendations to the General Assembly. The full report and recommendations can be found on the HFS nursing home payment update page.