MedicaidAdministrativeMedium impact
Clarification for Submittal of Ventilator Notification
Illinois Medicaid - HFS·IL · Pulmonology, Critical Care·Provider Notice
Effective date
Feb 18, 2010
We identified it
Jun 21, 2026
Summary
This policy clarifies proper procedures for submitting Form HFS 106 (Nursing Facility Ventilator Notification) to Illinois Medicaid. Key changes include using the actual last day of ventilator coverage as the discontinuation date, not submitting the form for temporary hospital admissions, and proper identification number requirements.
Action Required
Immediately: Billing team must update procedures for Form HFS 106 submissions to Illinois Medicaid. Ensure discontinuation dates reflect the actual last day of ventilator coverage, not the day after. Do not submit HFS 106 forms for temporary hospital admissions when using Form HFS 2234 for bed reserves. Verify use of correct 12-digit provider numbers and 9-digit recipient ID numbers on all submissions.