MedicaidAdministrativeMedium impact
Review and Payment Process for Department of Human Services Funded SASS Inpatient Stays
Illinois Medicaid - HFS·IL · Psychiatry, Pediatrics·Provider Notice
Effective date
Mar 15, 2006
We identified it
Jun 21, 2026
Summary
Illinois Department of Human Services (DHS) has clarified the review and payment process for SASS (Screening Assessment and Support Services) inpatient stays when no medical assistance application is filed. Claims will be processed at full rate initially, then manually adjusted to base rate by HFS, with hospitals receiving two separate remittance advices and a new adjustment reason code #4902.
Action Required
Billing team should watch for new adjustment Reason Code #4902 'DHS No Application' on remittance advices for DHS-funded SASS inpatient stays. Expect to receive two remittance advices for these claims - one showing initial full payment and another showing the manual adjustment to base rate. Contact DHS Children and Adolescent Services unit at 773-794-4875 with questions about these adjustments.