MedicaidAdministrativeMedium impact
Implementation of New Policy for Systematic Processing of Facility to Facility Transfer Long Term Care Admissions and Additional MEDI Edits
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Mar 11, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has implemented new automated processing for long-term care facility transfers and added new screening requirements. Admissions qualifying as transfers (previous stay 60+ days, discharge within 60 days) will be processed automatically, while non-transfers require complete screening documentation or will be rejected with error code 448.
Action Required
Immediately: Billing team must update long-term care admission workflows to include required screening information (Date of Screening, Screening Results Received Date, Date of Admission, Screening Attestation Checkbox, Screening Certified By information) for all non-transfer admissions. Use patient RIN when available for transfer admissions to ensure automatic processing. Monitor for error code 448 indicating missing screening information - resubmit with complete data. Only 'Accepted' or 'Accepted and Processed' transactions are valid.