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MedicaidAdministrativeMedium impact

Hospital Outpatient Claims for Fee-for-Service Sexual Assault Treatment Services Now Billable

Illinois Medicaid - HFS·IL · Emergency Medicine·Provider Notice
Effective date
Aug 4, 2023
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois hospitals can now submit electronic claims for Fee-for-Service Medicaid sexual assault treatment services with minimum $1,000 payment, retroactive to July 1, 2022. Previously held claims must be submitted within 180 days of this notice (by February 1, 2024).

Action Required

Action needed
By February 1, 2024: Illinois hospitals must submit all previously held electronic FFS Medicaid claims for sexual assault treatment services with dates of service from July 1, 2022 forward. Attach form 1624A with notation 'Due to Forensic Services' for any claims not meeting timely filing requirements. Contact HealthChoice Illinois MCO directly for MCO-covered population billing.