MedicaidAdministrativeMedium impact
Admission Transaction Submission Guidelines
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Illinois Medicaid long-term care providers must submit admission transactions electronically within 45 days of admission or receipt of screening forms. The policy clarifies when rejected transactions can be processed versus when new submissions are required, and explains how timely submission affects payment dates.
Action Required
Long-term care billing teams in Illinois must ensure all Medicaid admission transactions are submitted electronically through MEDI within 45 days of admission or screening form receipt. Retain all Transaction Audit Numbers (TANs) for reference. When transactions are rejected, determine if a new submission is needed based on rejection reason - do not resubmit if rejection was due to application denial within 60 days or no active Medicaid case with application within 90 days. For other rejections, resubmit within 30 days to preserve original request date.