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
Long term care facilities (nursing facilities and supportive living providers) must transition from current billing methods to monthly electronic billing using HIPAA-compliant 837I claims in UB-04 format. Paper claims will no longer be accepted and pre-payment reports will be discontinued.
Action Required
By July 1, 2016: Long term care billing teams must transition to electronic monthly claim submission using HIPAA-compliant 837I Institutional Health Care Claims in UB-04 format through the HFS Internet Electronic Claim (IEC) system via MEDI. Stop using paper claims entirely. Include bed reserves on monthly claims instead of reporting through LTC EDI transactions. Continue reporting resident admissions, income changes, and discharges through MEDI or EDI vendors. Use Form HFS 2249 for claim adjustments due to recipient information changes.