MedicaidAdministrativeMedium impact
Notice of Informational Webinars on Provisional Eligibility – Implementation Process
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Aug 1, 2018
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services is implementing Provisional Eligibility for long-term care Medicaid applicants whose applications have been pending over 45 days. Beginning August 1, 2018, providers can verify eligibility through MEDI and submit claims for LTC services while applications are still pending.
Action Required
By August 1, 2018: Long-term care billing teams must verify Provisional Eligibility status through Medical Electronic Data Interchange (MEDI) system for pending Medicaid applications over 45 days old. Update billing workflow to submit monthly claims for LTC covered services using standard processing procedures. Attend informational webinars scheduled for July 30-31, 2018 to understand implementation process.