MedicaidAdministrativeMedium impact
Implementation of New Policy for Long Term Care Admission Processing
Illinois Medicaid - HFS·IL · Geriatrics, Internal Medicine, Family Medicine·Provider Notice
Effective date
Feb 27, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has streamlined Long Term Care admission processing by allowing initial approval without 12 months of bank statements or the HFS 3654 form upfront. These additional financial documents will now be requested after initial approval with a 10-day response deadline.
Action Required
Immediately: Billing team should update LTC admission workflows to reflect that initial Medicaid eligibility can be processed without 12 months of bank statements or HFS 3654 forms. Monitor for post-approval HFS 3654 form requests with 10-day deadlines to prevent LTC service termination. Ensure patients understand they have 60 days to resubmit forms if services are terminated for non-compliance.