MedicaidAdministrativeHigh impact
Implementation of the Requirement for Long Term Care providers to Submit Monthly Billing for Reimbursement Purposes
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Dec 1, 2016
We identified it
Jun 20, 2026
Summary
Long term care facilities in Illinois must now submit monthly electronic billing claims directly to the Department for reimbursement, effective for services on or after December 1, 2016. The Department will no longer generate claims automatically for dates of service after this date.
Action Required
Immediately: Long term care billing teams must transition to electronic monthly billing submission via X12 file transfer or direct data entry through the Department's MEDI system. Follow UB04 and 837I Implementation guidelines. Continue submitting admissions, discharges, TPL coverage, and income changes through MEDI for all dates, but only submit bed reserves and Medicare coverage for dates prior to December 1, 2016. No paper claims will be accepted for services after December 1, 2016.