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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Please note that information posted on these links may become outdated based upon changes in policy or programs.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.
Billing Information
- 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)
Direct Data Entry (DDE) Submittal Information
Technical Assistance Calls
April 28, 2017
- All Facilities 10:30 a.m. - Noon
Call in: 866-233-3842
Access Code: 420789
Additional Calls:
To be announced
Webinars
Webinar April 9, 2019
Webinar May 18, 2016 (Revised February 2021)
Webinar May 4, 2016 (Revised March 2020)
Webinar April 27, 2016 (Revised 01/20/17)
Links
Provider Releases
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