MedicaidAdministrativeMedium impact
Reimbursement Changes to the Sexual Assault Emergency Treatment Program
Illinois Medicaid - HFS·IL · Emergency Medicine·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Illinois Sexual Assault Emergency Treatment Program changes billing procedures effective July 1, 2012. Hospitals must now use UB-04 forms instead of outpatient billing forms, with diagnosis codes specifically for sexual assault/abuse/rape required for payment. Claims must be submitted within 180 days and the program remains payer of last resort.
Action Required
By July 1, 2012: Hospitals treating sexual assault patients must switch from Outpatient Hospital Billing Forms to UB-04 forms. Billing team must ensure diagnosis codes specify sexual assault, sexual abuse, or rape - other diagnoses will result in claim denial. Register all non-Medicaid sexual assault patients in MEDI Early Registration System and issue Authorization for Payment Vouchers. All providers must include copy of Authorization voucher with claims and submit within 180 days of service date.