MedicaidAdministrativeMedium impact
Medical Electronic Data Interchange (MEDI) System – Automatic Updates for Increases and Decreases to the Resident’s Patient Credit Amount
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Sep 17, 2018
We identified it
Jun 20, 2026
Summary
Illinois Medicaid's MEDI system now automatically processes both increases AND decreases to patient credit amounts for long-term care residents, eliminating the previous manual processing requirement for decreases. LTC providers must continue reporting income changes within 45 days and submit supporting documentation.
Action Required
LTC billing teams must continue submitting income change transactions through MEDI within 45 calendar days of any resident income change. Ensure all supporting documentation is sent to the appropriate DHS LTC office. Monitor for automatic claim adjustments based on final DHS caseworker determinations and include Transaction Audit Number (TAN) when requesting recalculations.