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Elizabeth M. Whitehorn, Director

Provider Notice issued 10/06/03

Reporting Resident Death - New Telefax Telephone Number

​To: ​Long Term Care Providers
​Date: ​October 6, 2003
​Re: ​Reporting Resident Death - New Telefax Telephone Number

The telefax number used for reporting the death of a resident to the Department of Human Services, Exception Processing Unit has changed. When telefaxing a completed Form DPA 1156, Long Term Care Notification, facilities should now use 217-557-0474.

With the exception of providers who participate in the LTC/EDI system, this telefaxed notification continues to be required within five working days of a resident's death. A fax confirmation must be retained by the facility as documentation. Facilities not participating in the LTC/EDI system should also continue reporting resident deaths to the Department of Human Services local office using Form DPA 1156.

Providers who participate in the LTC/EDI system are required to electronically submit a change in resident status to the Department through their REV vendor within five working days.

Questions should be directed to the Bureau of Long Term Care at 217-524-7244.

Anne Marie Murphy, Ph.D.

Administrator

Division of Medical Programs