Long Term Care Direct Billing

Welcome to the Long Term Care Direct Billing Resources web page. This site is designed to assist Long Term Care Providers with HFS billing and payment for services, as well as provide answers to frequently asked questions that may arise concerning billing and claims processing. 

Please note that information posted on these links may become outdated based upon changes in policy or programs. Updated information will be posted as it becomes available.

If you have additional questions, please contact a billing consultant 217-782-0545.

• Electronic Claim Status Inquiries (pdf) 
• Frequently Asked Questions (pdf) (Revised 01/20/17)
•  Timely Filing Guidelines for Long Term Care Providers (pdf)
•  Voiding and Rebilling Incorrectly Submitted Claims (pdf)
•  Void Claim Example - form HFS2249 Adjustment (Hospital) (pdf)
•  Medicare and TPL Billing Requirements (pdf) (Revised 07/23/2017)
•  Common Billing Issues (pdf)   (Revised  07/22/2021)
•  LTC MEDI Registration Guidelines for Providers, Payees, and Business Entities (pdf)
•  Claim Examples for Skilled Nursing Facilities (PT 33) pdf
•  Claim Examples for Intermediate Care Services for Skilled Nursing and Intermediate Care Facilities (PT 33) pdf
•  Claim Examples for Intermediate Care Services for Intellectually Disabled (IID) (PT 29) pdf
•  Claim Examples for Supportive Living Program Facilities (SLP) (PT 28) pdf
•  Claim Examples for Nursing Facilities eligible to be licensed Specialized Mental Health Rehabilitation Facilities (SMHRF) (PT 38) pdf
•  Patient Roster Report Specifications (pdf)
•  Patient Roster Report Instructions (pdf)

•  All Facilities 10:30 a.m. - Noon

Call in: 866-233-3842

Access Code:   420789

To be announced

Webinars

Webinar April 9, 2019

• MCDD Reimbursement Effective April 1, 2019 (pdf)

Webinar May 18, 2016 (Revised February 2021)

• Long Term Care Service Billing Requirements and Coding (pptx)

Webinar May 4, 2016 (Revised March 2020)

•  Electronic Claims Submission of Long Term Care Services Claims as Direct Date Entry and Up Loaded File (pptx)

Webinar April 27, 2016 (Revised 01/20/17)

•  Introduction to the New Electronic Claims Processing of Long Term Care Services (pdf) (audio)
• Provider Notice COS Crosswalk Updated 03/27/2017 (xlsx)

• HIPAA 5010 - Health Care Claim: Institutional (837I)

• Medical Electronic Data Interchange (MEDI)

• Provider Enrollment (IMPACT)

• Provider Handbooks

• February 9, 2016  Requirement for Providers to Submit Monthly Billing for Reimbursement Purposes – Effective July 1, 2016 (Nursing Facilities, including IMD; and Supportive Living Providers)

• March 14, 2016 Requirement for Providers to Submit Monthly Billing for Reimbursement Purposes – Effective July 1, 2016  (Intermediate Care Facilities for Individuals with Intellectual and Developmental Disabilities)

• April 19, 2016  New Monthly Billing Process for Long Term Care Services – Effective July 1, 2016

• June 14, 2016 Requirement for Long Term Care Providers to Submit Monthly Billing for Reimbursement Purposes – Delayed Implementation 

• January 10, 2017  Implementation of the Requirement for Long Term Care providers to Submit Monthly Billing for Reimbursement Purposes

CONTACT US:

Healthcare and Family Services
Bureau of Long Term Care
Billing Unit
201 South Grand Ave East
Springfield, IL  62763
(217)782-0545
(217)557-5061 fax
(844)528-8444 toll free
HFS.LTC@illinois.gov