If an LTC facility voluntarily withdraws from the Medicaid program, HFS continues to pay for services to clients in the facility if:
Example: A facility voluntarily withdraws from participation on 06/01/95. A person enters the facility in 05/95 and applies for benefits in 06/95. The client is approved for benefits effective 05/95. Since the client
was a resident before the facility withdrew and the eligibility date is before the facility withdrew, payments may be made to the facility.
HFS will not pay for services for:
Example: A facility voluntarily withdraws from participation on 06/01/95. A person applies and is approved for medical benefits effective 07/95. Payment is not made since the date of eligibility is after the date of
If an SLF voluntarily withdraws from the Medicaid program, HFS pays for services only through the date prior to the effective date of withdrawal.
Example: An SLF voluntarily withdraws from participation on 07/01/98. Payment to the facility may be made only through 06/30/98.
Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
IDHS Office Locator
IDHS Help Line
© 2020 Illinois Department of Human Services