MedicaidCoverageMedium impact
Hospital Utilization Review Policy Change Regarding Inpatient Detoxification Admissions within 60 Days of Previous Admission per Public Act 102-0043
Illinois Medicaid - HFS·IL · Psychiatry, Internal Medicine, Emergency Medicine·Provider Notice
Effective date
Oct 21, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has removed the 60-day prohibition on readmissions for inpatient alcohol or drug detoxification stays. Hospitals can now bill for detoxification readmissions within 60 days of a previous detoxification stay without automatic denial.
Action Required
Immediately: Billing teams at Illinois hospitals should update utilization review processes to allow inpatient detoxification readmissions within 60 days. Remove any automated denials or flags for detoxification readmissions under 60 days. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for FFS claims questions or applicable HCI MCO for managed care questions.