MedicaidAdministrativeMedium impact
Implementation of New Policy for Systematic Processing of Long Term Care Admissions and Additional MEDI Edits
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Aug 23, 2021
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has implemented new systematic processing for Long Term Care admissions, allowing qualifying admissions to be processed automatically through the MEDI system instead of manual review by DHS. The policy adds new front-end edits and specific requirements for RIN/SSN submission, screening documentation, and transfer vs non-transfer admission categorization.
Action Required
Immediately: Long Term Care billing staff must update admission submission processes to include valid RIN or SSN with date of birth for all admissions. Ensure all required screening information fields (Date of Screening, Screening Results Received Date, Date of Admission to Facility, Screening Attestation Checkbox, Screening Certified By) are completed for non-transfer admissions. Review the transfer matrix to determine screening requirements based on facility types. Monitor MEDI LTC Admission Results for 'Transaction Accepted and Processed' messages and verify processed admission/discharge dates via MEDI LTC Inquiry immediately after submission.