MedicaidAdministrativeMedium impact
Social Security Administration Retroactive Payment Information
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Mar 21, 2025
We identified it
Jun 20, 2026
Summary
Illinois providers at long-term care facilities must report SSA lump sum retroactive payments to the Illinois Department of Human Services and submit income changes in MEDI system. Lump sum payments count as income in the month received and as resources the following month, potentially affecting Medicaid eligibility if they exceed the $17,500 resource limit.
Action Required
Immediately: Long-term care billing teams must establish procedures to report any resident SSA lump sum payments to Illinois DHS LTC Medical Field Operations office via provider portal, ABE, fax, or mail with supporting documentation including bank statements. Submit income changes in MEDI system noting payments are income in receipt month and resources the following month. Monitor for resource limit excess that may affect cost of care calculations.