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Provider Notice issued 01/11/08
During a patient encounter, if MEDI shows a redetermination is due within the next 3 months, inform the client and remind the client of the importance of completing the review timely for ongoing medical coverage.
Address changes can be reported to the U.S. Post Office. The state of Illinois uses the National Change of Address (NCOA) system to keep client addresses current.
A misplaced renewal form can be regenerated by the IMRP hotline.
The completed renewal form is due back to IMRP within twenty (20) days to allow time to process the case and avoid delayed or canceled benefits.
Proof of the client's current monthly income should be included with the renewal form except that proof of Social Security or SSI income does not have to be included. The state will confirm Social Security and SSI income electronically.
Proof of medical expenses or other deductions to the client's income must be included.
Return the form to IMRP in one of the following ways:
in the postage-paid return envelope to IMRP, PO Box 1242, Chicago, IL 60690-1242,
by fax to 1-866-661-7025 (Be sure to fax both sides of each page), or
by email to on the Illinois.gov File Transfer website (this is a secure website).
Redeterminations of Medicaid Eligibility through the Illinois Medicaid Redetermination Project
| To: | HFS Medical Providers and Home and Community Based Services (HCBS) Providers of Waiver Services |
| Date; | March 26, 2014 |
| Re: | Redeterminations of Medicaid Eligibility through the Illinois Medicaid Redetermination Project |
The Illinois department of Healthcare and family Services (HFS) has made changes to procedures for required annual redeterminations of eligibility for Medicaid. These changes affect all individuals receiving Medicaid benefits. Long term care facilities and community service providers are urged to assist their residents and clients with the new process to minimize unnecessary disruptions in coverage.
The Illinois Medicaid Redetermination Project (IMRP) was developed as a result of of Public Act 097-0689(pdf) to increase the efficiency of state medical redeterminations by having a central process for initiating redeterminations, collecting client information and reviewing eligibility.
Each month, cases due for redetermination are sent a "Time for Renewal" letter between the 1st and the 15th of the month on a staggered schedule. A sample of this letter is available online, Renewal Remind Letter (pdf). About two weeks later, between the 15th and the end of the month, the redetermination form is mailed to the applicant based on the current mailing address in the state's database (see #1 below).
A copy of the redetermination form and cover letter for individuals who are aged, blind or living with a disability can be found online, Redetermination Notice for individuals who are aged, blind or living with a disability (pdf).
A copy of the redetermination form for families, pregnant women, the Former Foster Care and ACA Adult programs can be found online, Redetermination Notice form for families, pregnant women, the Former Foster Care and ACA Adult programs (pdf). These notices are pre-populated with information about the household and the client updates the information, signs and returns the form with necessary proofs.
Cases due for redetermination appear in the Medical Electronic Data Interchange (MEDI) system for the three months prior to the renewal month. Until the state gets caught up on all late redeterminations, cases that are overdue for redetermination may receive a redetermination form in a month not shown in MEDI.
The department would like to make the following recommendations for providers and advocacy groups who have requested information about completing of Medicaid eligibility redeterminations for persons receiving medical services:
Taking or mailing the renewal form to the local Department of Human Services (DHS) office will only delay processing. Most medical renewals are now being processed in central DHS redetermination units.
Any questions regarding this notice may be directed to IMRP staff at 1-866-255-5437. IMRP staff can connect callers to the DHS central redetermination office.
Provider Notice issued 03/26/14
During a patient encounter, if MEDI shows a redetermination is due within the next 3 months, inform the client and remind the client of the importance of completing the review timely for ongoing medical coverage.
Address changes can be reported to the U.S. Post Office. The state of Illinois uses the National Change of Address (NCOA) system to keep client addresses current.
A misplaced renewal form can be regenerated by the IMRP hotline.
The completed renewal form is due back to IMRP within twenty (20) days to allow time to process the case and avoid delayed or canceled benefits.
Proof of the client's current monthly income should be included with the renewal form except that proof of Social Security or SSI income does not have to be included. The state will confirm Social Security and SSI income electronically.
Proof of medical expenses or other deductions to the client's income must be included.
Return the form to IMRP in one of the following ways:
in the postage-paid return envelope to IMRP, PO Box 1242, Chicago, IL 60690-1242,
by fax to 1-866-661-7025 (Be sure to fax both sides of each page), or
by email to on the Illinois.gov File Transfer website (this is a secure website).
Redeterminations of Medicaid Eligibility through the Illinois Medicaid Redetermination Project
| To: | HFS Medical Providers and Home and Community Based Services (HCBS) Providers of Waiver Services |
| Date; | March 26, 2014 |
| Re: | Redeterminations of Medicaid Eligibility through the Illinois Medicaid Redetermination Project |
The Illinois department of Healthcare and family Services (HFS) has made changes to procedures for required annual redeterminations of eligibility for Medicaid. These changes affect all individuals receiving Medicaid benefits. Long term care facilities and community service providers are urged to assist their residents and clients with the new process to minimize unnecessary disruptions in coverage.
The Illinois Medicaid Redetermination Project (IMRP) was developed as a result of of Public Act 097-0689(pdf) to increase the efficiency of state medical redeterminations by having a central process for initiating redeterminations, collecting client information and reviewing eligibility.
Each month, cases due for redetermination are sent a "Time for Renewal" letter between the 1st and the 15th of the month on a staggered schedule. A sample of this letter is available online, Renewal Remind Letter (pdf). About two weeks later, between the 15th and the end of the month, the redetermination form is mailed to the applicant based on the current mailing address in the state's database (see #1 below).
A copy of the redetermination form and cover letter for individuals who are aged, blind or living with a disability can be found online, Redetermination Notice for individuals who are aged, blind or living with a disability (pdf).
A copy of the redetermination form for families, pregnant women, the Former Foster Care and ACA Adult programs can be found online, Redetermination Notice form for families, pregnant women, the Former Foster Care and ACA Adult programs (pdf). These notices are pre-populated with information about the household and the client updates the information, signs and returns the form with necessary proofs.
Cases due for redetermination appear in the Medical Electronic Data Interchange (MEDI) system for the three months prior to the renewal month. Until the state gets caught up on all late redeterminations, cases that are overdue for redetermination may receive a redetermination form in a month not shown in MEDI.
The department would like to make the following recommendations for providers and advocacy groups who have requested information about completing of Medicaid eligibility redeterminations for persons receiving medical services:
Taking or mailing the renewal form to the local Department of Human Services (DHS) office will only delay processing. Most medical renewals are now being processed in central DHS redetermination units.
Any questions regarding this notice may be directed to IMRP staff at 1-866-255-5437. IMRP staff can connect callers to the DHS central redetermination office.