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Illinois Medicaid Documentation Requirements
Retention of Records
Business and professional records must be maintained for a period of not less than six (6) years from the date of service or as otherwise provided by applicable state law, whichever period is longer, except that:
The provider's business and professional records for at least 12 previous calendar months shall be maintained and available for inspection by authorized Department personnel on the premises of the provider. Department personnel shall make requests in writing to inspect records more than 12 months old at least 2 days in advance of the date they must be produced.
Any and all business records that may indicate financial arrangements between the provider and other providers in the program or other entities, or that are necessary to determine compliance with federal and State requirements, including but not limited to:
Providers are to maintain any and all professional records which relate to the quality of care given by the provider or which document the care for which payment is claimed, including, but not limited to:
Professional records documenting the history, diagnosis, treatment services, etc., of a patient covered under one of HFS’ medical programs are to be made available to other health care providers who are treating or serving the patient, without charge and in a timely manner, when authorized by the patient in writing.
Ill. Admin. Code § 140.28