MedicaidAdministrativeMedium impact
Inpatient Payment for Children’s Mental Health Program Services
Illinois Medicaid - HFS·IL · Psychiatry, Pediatrics·Provider Notice
Effective date
Mar 15, 2006
We identified it
Jun 21, 2026
Summary
Illinois hospitals must now assist SASS-enrolled children in applying for medical assistance (Medicaid/KidCare) or services after the first day of enrollment will not be reimbursed. Claims for multi-day stays will be suspended for review, and hospitals can receive $50 for complete applications if enrolled as Application Agents.
Action Required
Illinois hospitals treating SASS-enrolled children must: 1) Assist families in filing medical assistance applications before discharge, 2) Request retroactive coverage when completing applications, 3) Contact DHS at 773-794-4875 for exceptions when families refuse to apply, 4) Expect claims to be suspended with 'Department Review' status and await secondary remittance advice for final disposition, 5) Consider enrolling as All Kids Application Agent to receive $50 per complete application.