MedicaidAdministrativeLow impact
Psychiatric Residential Treatment Facility (PRTF) Annual Attestations and Serious Occurrence Reporting
Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Sep 14, 2016
We identified it
Jun 20, 2026
Summary
Illinois Medicaid providers operating as Psychiatric Residential Treatment Facilities (PRTFs) must submit annual compliance attestations by October 1 each year and report serious occurrences within one business day. This notice clarifies existing federal reporting requirements for facilities serving patients under age 21.
Action Required
By October 1 annually: PRTF facility directors must complete and mail form HFS 2734A attestation to Illinois Department of Healthcare and Family Services at 201 S. Grand Avenue East, Springfield, IL 62763. Immediately upon occurrence: Submit HFS Unusual Incident Report Form within one business day for any resident death, serious injury, or suicide attempt.