MedicaidAdministrativeHigh impact
180 Day Time Limit for Claim Submittal
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Aug 9, 2016
We identified it
Jun 20, 2026
Summary
Illinois Medicaid reminds providers that all non-institutional claims must be submitted within 180 days of the date of service for payment consideration. This applies to both initial and resubmitted claims, with specific exceptions for Medicare crossovers (2 years), certain local government providers (12 months), and other special circumstances.
Action Required
Immediately: Billing team must ensure all Illinois Medicaid claims are submitted within 180 days of service date. Update billing workflows to flag claims approaching the 180-day deadline. For Medicare crossover claims, ensure submission within 2 years. Track submission dates in billing system and set up automated alerts at 150 days to prevent denials due to late filing.