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MedicaidAdministrativeMedium impact

Timely Filing Claim Submittal for Non-Institutional Providers

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

This is a reminder that all Medicaid claims for non-institutional providers must be filed within 180 days of the date of service. Both initial claims and rebilled claims received after 180 days will not be paid, with this rule applying to all claims received on or after July 1, 2012.

Action Required

Action needed
Immediately: Billing team must ensure all Medicaid claims for non-institutional services are submitted within 180 days of the date of service. Update billing system alerts to flag claims approaching the 180-day deadline. Review current pending Medicaid claims to identify any at risk of exceeding the deadline. Claims submitted after 180 days will be denied with no payment.