MedicaidAdministrativeMedium impact
New Transaction Audit Number (TAN) Status Code 17
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has implemented a new TAN status code '17' for Long Term Care admissions, which alerts providers that form HFS 3654 may still be needed for financial verification. Providers must monitor for this status code and respond to verification requests or risk service termination.
Action Required
Immediately: Long Term Care billing teams must monitor MEDI LTC Inquiry results for new TAN status code '17' with REF field 'HFS3654'. When this code appears, be prepared to submit form HFS 3654 'Additional Financial Information for Long Term Care Applicants' if requested via verification checklist. Submit form to appropriate DHS office via fax, mail, or through ABE application portals by the due date indicated to prevent LTC service termination.