Provider Notice Issued 04/04/2023

Date:      April 4, 2023

To:        Long Term Care Facilities - Nursing Facilities (NF), Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Supportive Living Program (SLP), Medically Complex for the Developmentally Disabled Facilities (MC/DD) and Specialized Mental Health Rehabilitation Facilities (SMHRF) 

Re:           Resuming Medicaid Renewals ___________________________________________________________________________________________________________________________________________________

This notice informs all Long Term Care (LTC) providers that starting May 2023, we must ask Illinois Medicaid customers to renew their healthcare coverage. Medicaid customers have had continuous coverage since the start of the Covid-19 pandemic. However, Congress has ended the pause on annual eligibility verifications, known as redeterminations, or simply, renewals.

The Medicaid renewal process
LTC customers will receive one of two renewal forms:

• Medical Benefits Redetermination Notice- Form A - If we have enough information about a customer to automatically renew them, this renewal form will tell them what information we used to determine their eligibility. Form A does not need to be completed and returned unless the information on the form is incorrect.
• Medical Benefits: Time to Renew Notice- Form B - If we need more information, the form will ask for more information. Medicaid customers will then have to complete and submit their renewal according to the instructions on the form.

 
The best way to complete a renewal is to click Manage My Case at abe.illinois.gov. If the customer's Manage My Case login details are lost or forgotten, click "Create a new ABE User Id and Password" and link it to the original Medicaid case through identity proofing. For more information on managing online accounts, visit the ABE Customer Support Center.

When are renewals due?
It is important to know that everybody's due date is different. Medicaid customers will get their renewal forms one month before they are due. All renewals are due by the first day of the following month.

For example, if a customer's renewal is due June 1, they will get their renewal form the first week of May and must return it by June 1. Customers whose renewals are due in July will get a letter the first week of June and must return them by July 1. And so on.

How to submit renewal forms as a provider
Providers may return renewal forms through the ABE Partner Portal or the Central Scanning Unit:

• ABE Partner Portal - Instructions for Creating Accounts and Uploading Documents
• Department of Human Services Utilization of the Central Scanning Unit for Long Term Care Providers

 
Important Reminders:

• Only return renewal forms that require a response.
• Only complete and return the actual renewal form that is sent to the customer, not a previous renewal form.
• Medical Benefits Redetermination Notice (Form A) should only be returned if the information is incorrect and the updated information has been added.
• Customers can renew online when it is time for renewal by clicking Manage My Case at abe.illinois.gov. The renewal button appears on the first business day of the month before the form is due. Therefore, a customer's renewal that is due June 1 would see the renewal button in Manage My Case on May 1.
• For customers that have a Manage My Case account, LTC providers that are approved representatives should update the address on the customer's case to ensure the customers renewal notices are mailed to the right address.
• LTC providers can check customers' renewal due dates in the Medical Electronic Data Interchange (MEDI) system. Here are instructions to LTC Providers for locating the redetermination date of Medicaid eligible residents in the MEDI system.

 
If you have questions regarding this notice, contact the Bureau of Long Term Care at 844-528-8444.

Kelly Cunningham, Administrator
Division of Medical Programs