MedicaidAdministrativeMedium impact
Hospital Submission of Duplicative Paper Claims
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 7, 2020
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services clarifies that hospitals should only submit paper claims when attachments are required or special handling is needed, and must stop submitting duplicate paper claims at regular intervals. Claims requiring special processing must include the HFS 1624A Override Request Form with clear justification.
Action Required
Immediately: Hospital billing teams must stop automatically submitting duplicate paper claims monthly or at periodic intervals. Only submit paper claims when attachments are required or special handling is needed. For claims requiring special processing, attach HFS 1624A UB-04 Override Request Form with specific reasons and supporting documentation. Use correct mailing addresses: P.O. Box 19133 for claims with attachments, P.O. Box 19128 for special handling requests.