MedicaidAdministrativeHigh impact
Requirement for Providers to Submit Monthly Billing for Reimbursement Purposes - Effective July 1, 2016
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Summary
Starting July 1, 2016, long-term care facilities and intermediate care facilities for individuals with intellectual/developmental disabilities must submit monthly electronic claims using HIPAA-compliant 837I format instead of paper claims. Paper claims will no longer be accepted and pre-payment reports will be discontinued.
Action Required
By July 1, 2016: Long-term care and ID/DD facility billing teams must transition to electronic monthly claim submission using HIPAA-compliant 837I Institutional Health Care Claim format through HFS Internet Electronic Claim (IEC) system via MEDI. Stop using paper claims entirely as they will not be accepted. Include bed reserves on monthly claims rather than through LTC EDI transactions. Continue reporting resident admissions, income changes, and discharges through MEDI or EDI vendors.