Traditional MedicareAdministrativeMedium impact
MEDI Enhancements and Instructions for Medicare-Only Admission Transactions
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
May 7, 2018
We identified it
Jun 20, 2026
Summary
Illinois HFS has enhanced the MEDI system for long-term care facilities to streamline Medicare-only admissions with automated processing for dually-eligible individuals. New data fields have been added and a 45-day submission deadline is now required for Medicare-only admissions to avoid denial for untimely filing.
Action Required
Immediately: Long-term care billing teams must update MEDI system workflows to use new data fields including Medicare Only checkbox for QMB-only or QMB-dual eligible patients. Submit all Medicare-only admissions within 45 days of admission date to avoid untimely filing denials. When Medicare benefits are exhausted, submit additional admission transaction for Medicaid primary coverage period using normal DHS review procedures.