Provider Notice issued 08/12/14

Withdrawal from the Title XIX Medicaid Program

This Notice informs facilities eligible to be licensed as Specialized Mental Health Rehabilitation Facilities (SMHRF) that the State of Illinois is currently in the process of implementing provisions of the Specialized Mental Health Facilities Act of 2013, as amended by Public Act 98-0651. 

Until a facility is licensed as a SMHRF, licensure compliance will be determined per Part 300 Skilled Nursing and Intermediate Care Facilities Code (Subpart S or Subpart T).  For those facilities participating in the Medicaid program, inspections to determine compliance with federal requirements found in 42 CFR part 483 will continue until Department of Health (DPH) receives written notification of your intent to voluntarily withdraw from participation. This notification should be given at least 30 days in advance of the facility’s withdrawal date and be directed as follows:

                        Illinois Department of Public Health

                        Office of Health Care Regulation

                        Attn:  Certification Section Supervisor

                        525 West Jefferson Street, 5th Floor

                        Springfield, IL  62761

All outstanding civil money penalties assessed as a result of a Medicaid certification survey cycle and still owed to DPH must be paid prior to the facility’s withdrawal date.  To discuss the civil money penalties, contact DPH at the address above or at (217) 782-5180.    

The facility’s withdrawal from the Medicaid program will not interrupt the facility’s payments for services rendered or change the facility’s twelve digit HFS Medicaid provider number used for billing.  The required notice to DPH should be submitted no later than September 15, 2014. 

If you have questions, contact the HFS Bureau of Long Term Care at 217-782-0545.

Theresa A. Eagleson, Administrator
Division of Medical Programs