MedicaidAdministrativeHigh impact
Monthly Billing Requirement
Illinois Medicaid - HFS·IL · Geriatrics, Psychiatry·Provider Notice
Effective date
Jul 1, 2015
We identified it
Jun 20, 2026
Summary
Long-term care facilities, Supportive Living Program providers, and Specialized Mental Health Rehabilitation Facilities must transition from current billing formats to HIPAA-compliant X12 837 electronic claims or paper UB-04 forms for monthly claim submissions. This policy implements P.A. 98-0104 requirements for monthly billing cycles instead of other submission frequencies.
Action Required
By July 1, 2015: Billing teams at affected long-term care facilities must transition all claim submissions to either HIPAA-compliant X12 837 electronic format or paper UB-04 format for monthly billing cycles. Update billing software and workflows to support monthly submission requirements. Monitor for future informational notices regarding operational changes and training requirements.