MedicaidAdministrativeMedium impact
Update: Long Term Care Rejected Admission Transaction Review Project
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Sep 10, 2019
We identified it
Jun 20, 2026
Summary
Illinois Healthcare and Family Services is implementing a special review process for long term care admission transactions that were rejected between March 2016-October 2018 without proper notification to providers. LTC providers will receive follow-up requests from DHS caseworkers to provide additional information within strict 45-day deadlines to potentially have rejected admissions processed.
Action Required
LTC providers should monitor for incoming information requests from DHS caseworkers regarding previously rejected admission transactions. When contacted, respond within 45 days with all requested verifications and documentation to avoid final rejection. No extensions will be granted for this special project review process.