MedicaidAdministrativeLow impact
Completion and Submittal of Form HFS 2234, Bed Reserve/Temporary Absence Form
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Dec 11, 2006
We identified it
Jun 21, 2026
Summary
Illinois nursing facilities must submit Form HFS 2234 for bed reserve/temporary absence reporting on the 1st day of the month following hospital stays or therapeutic home visits. The form should be submitted electronically through REV vendors or mailed to the specified address, with corrections/deletions faxed only when necessary.
Action Required
Nursing facility billing teams must submit Form HFS 2234 on the 1st day of each month following hospital stays or therapeutic home visits. Submit electronically through REV vendors or mail to Illinois Department of Healthcare and Family Services, P.O. Box 19108, Springfield, IL 62794-9108. Only fax corrections or deletions to 217-557-5061. Ensure Medicaid RIN is assigned before submission to avoid processing delays.