Reminder of NEW 180 Day Time Limit for Claim Submittal

COMMUNICATION ALERT: Reminder of NEW 180 Day Time Limit for Claim Submittal

Reminder--180 Day Time Limit for Claim Submittal

The Division of Mental Health (DMH) is sending this Communication Alert as a reminder to Community Mental Health Providers who submit claims for DMH purchased services.

As a result of (Public Act 097-0689), referred to as the Save Medicaid Access and Resources Together (SMART) Act, effective with claims received on or after July 1, 2012, the Department of Healthcare and Family Services (HFS) implemented a policy change relating to timely filing of claims. To be eligible for Medicaid reimbursement, providers and suppliers must file claims within a qualifying time limit. A claim will be considered for payment only if it is received by HFS no later than 180 days from the date on which services or items are provided. This time limit applies to both initial and resubmitted claims.

Re-billed claims, as well as initial claims, received more than 180 days from the date of service will not be paid. It is the Division of Mental Health's understanding that the legislation applies to claims with service dates of July 1st 2012 forward.

The full provider notice disseminated by HFS July 23rd 2012 may be accessed at the following site:

http://www.hfs.illinois.gov/assets/072312n.pdf

For additinal information please contact Brenda.Cunningham@illinois.gov.