MedicaidAdministrativeLow impact
Inpatient Utilization Review Update
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Oct 1, 2007
We identified it
Jun 21, 2026
Summary
Illinois eliminated concurrent continued stay review requirements for DRG-reimbursed hospitals effective October 1, 2007, while still requiring admission certification and discharge notification. Several diagnosis codes were added or removed from mandatory review lists throughout 2007.
Action Required
No action required - this is a 2007 Illinois Medicaid policy that is no longer current. Modern billing teams should disregard this outdated guidance and follow current utilization review requirements from their respective payers.