MedicaidCoverageMedium impact
Transportation Billing Reminders
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Sep 20, 2019
We identified it
Jun 20, 2026
Summary
Illinois Medicaid clarifies that transportation services cannot be billed to Medicaid in specific scenarios: transports from long-term care facilities to non-medical services, hospital patient transfers for outpatient services with return transport, and any transport for state-operated facility residents. Providers must verify reimbursement sources before transport and seek payment from the originating facility instead.
Action Required
Immediately: Transportation billing teams must verify reimbursement sources before all transports originating from LTC facilities, hospitals, or state-operated facilities. Stop billing Medicaid for non-medical LTC transports (to workshops, day centers), hospital outpatient round-trips, and state facility resident transports. Seek payment from originating facilities instead. Ensure HFS 2270 forms are completed for all non-emergency transports. Non-compliance may result in fraud penalties.