MedicaidAdministrativeMedium impact
Supportive Living Program (SLP) Provider Involuntary Discharge Requirements
Illinois Medicaid - HFS·IL · Geriatrics, Psychiatry, Internal Medicine·Provider Notice
Effective date
Oct 21, 2025
We identified it
Jun 20, 2026
Summary
New Illinois policy clarifies requirements for Supportive Living Program (SLP) providers to involuntarily discharge Medicaid residents, including specific documentation requirements, bed hold rules, and information sharing protocols. This primarily affects billing for residential care facilities and discharge coordination processes.
Action Required
Immediately: SLP billing teams must update discharge procedures to comply with new involuntary discharge requirements. Document all discharge decision criteria including resident behavior/medical changes, physician consultations, and why facility cannot meet needs. Ensure proper bed hold billing for temporary nursing home discharges within 30-day fiscal year limit. Update information sharing protocols to distinguish between acuity-based discharges (no written consent needed) versus voluntary discharges (written consent required).