MedicaidAdministrativeMedium impact
Submittal of Charges to Local Department of Human Services (DHS) Office for Spenddown Calculation
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Dec 13, 2002
We identified it
Jun 21, 2026
Summary
Healthcare providers must now submit charges to local DHS offices for Medicaid spenddown calculations with charges broken down by individual service dates, not lumped together. Statements with multiple treatment dates must show specific charges for each date of service.
Action Required
Immediately: Billing team must ensure all statements submitted to local DHS offices for Medicaid spenddown calculations show charges broken down by individual service dates. Update billing system templates to separate charges by date of service rather than showing lump sums. Train staff that statements with improper charge grouping will be returned by DHS offices for correction.