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Illinois Medicaid - HFSMedicaid · Administrative · Provider Notice · IL · Geriatrics, Palliative CareHigh impact

REMINDER – Nursing Facility Advance Payment Repayment and Recoupment Process-Restart Collections September 1, 2026

Act
by Aug 15, 2026 (DEADLINE)
Effective date
Sep 1, 2026
Identified
Aug 15, 2026

Summary

HFS is restarting collections on outstanding advance payments to nursing facilities effective September 1, 2026. Facilities with unpaid advances must sign a renegotiated advance payment agreement by August 15, 2026, or face immediate recoupment of outstanding balances. This applies only to long-term care (LTC) nursing facility providers in Illinois.

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What to do

by Aug 15, 2026 (DEADLINE) · 5 steps
01Nursing facility billing and administrative staff must immediately contact HFS and sign the renegotiated advance payment agreement template.
02Send signed and dated agreements to HFS.LTCAdvances@Illinois.gov before close of business Friday, August 14, 2026.
03Failure to renegotiate an advance payment agreement by this deadline will result in automatic recoupment of all outstanding unpaid advance payments starting September 1, 2026.
04Facilities with outstanding advances should check email from the HFS Bureau of Long Term Care for the new agreement template.
05Contact HFS.LTC@illinois.gov with questions.

Original notice

REMINDER – Nursing Facility Advance Payment Repayment and Recoupment Process-Restart Collections September 1, 2026
hfs.illinois.gov · Always check the source before changing claims.
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