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Provider Notices

Provider notices and bulletins contain pertinent information for participating providers for medical services provided or for claims submitted for reimbursement.

 
Notices inform providers and billing agents of possible revisions or clarifications of medical services. Bulletins include information about general policy and procedural updates for the various provider handbooks issued by the department.
 

 

To filter Provider Notices by specific Provider Category, by Notice Year, or to apply both Filters simultaneously, please click the dropdown for the desired Filter(s), choose the desired value, and click Apply Filter. To apply both Filters simultaneously, you must click Apply Filter separately for each Filter. To remove all filters, click the Clear All Filters button.

Please note that when you filter by category, all Provider Notices tagged with your chosen Provider Category will be returned, including those that apply to multiple Provider Categories.

 
 

 

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20225/24/2022prn220524aSUPPORT Act Section 1003 Demonstration Project to Increase Substance Use Provider Capacity – Invitation to Participate in StudyEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Nurses; Rural Health Clinics
20225/23/2022prn220523aCOVID-19 Vaccine Counseling Coverage ChangeEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20225/16/2022prn220516aHFS Managed Care Provider Resolution Portal Updates and Reminders 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20225/13/2022prn220513aCoverage for Screening, Brief Intervention, and Referral to Treatment (SBIRT) ServicesAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20225/11/2022prn220511aAbortion ServicesHospitals; Nurses; Physicians
20224/29/2022prn220429aFiscal Year 2022 January-June 2022 Hospital Inpatient and Outpatient Assessment Programs - Notice of Assessment ReductionHospitals
20224/29/2022prn220429bDELAY in Reinstatement of the Certificate of Transportation Services (CTS) HFS 2271 Form - Now Effective June 1, 2022Physicians; Transportation Providers
20224/28/2022prn220428aCommunity-Based Behavioral Services Handbook - Reissue Community Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
20224/27/2022prn220427aRe:       Notice of Resource Available to Providers of Adaptive Behavior Support ServicesAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20224/22/2022prn220422aReinstatement of the Certificate of Transportation Services (CTS) as the HFS 2271 Form Effective May 1, 2022Physicians; Transportation Providers
20224/15/2022prn220415aCoverage of Violence Prevention Community Support Team ServicesAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20224/15/2022prn220415bAmerican Rescue Plan Act Home and Community-Based Services Waiver for the Supportive Living Program: Rate Changes Effective April 1, 2021, through March 31, 2022Supportive Living
20224/11/2022prn220411aUpcoming Webinars Covering Community-Based Behavioral Services ComplianceCommunity Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers
20224/4/2022prn220404aIllinois ADVANCE – New Resource for PrescribersAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/31/2022prn220331aDelay in Implementation of Modifier 93 and Place of Service Code 10 to July 1, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/31/2022prn220331bFederal Public Health Emergency Communications Toolkit – Now available in 10 languages!All Kids Application Agents Instructions & Alerts; Hospitals; Federally Qualified Health Centers; Nurses; Physicians
20223/30/2022prn220330aDirected Payment and Passthrough Calculations on WebsiteHospitals
20223/25/2022prn220325aDisproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment PaymentsHospitals
20223/22/2022prn220322aHRSA COVID-19 Uninsured Program Ending; HFS COVID-19 Uninsured Program ContinuesAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/21/2022prn220321aFederal Public Health Emergency Communications ToolkitAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/21/2022prn220321bModifier 93 and Place of Service Code 10 Implementation April 1, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/17/2022prn220317aSafety Net Hospital and Federally Qualified Health Center Coordination per Public Act 102-0004Federally Qualified Health Centers; Hospitals
20223/14/2022prn220314aIMPACT Single Sign-On Migration to the New ILogin System Effective March 25, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/10/2022prn220310aHospital Taxonomy Codes for Outpatient Physical Therapy BillingHospitals
20223/9/2022prn220309aHIPAA Implications of Illinois PASRR Program Redesign ImplementationAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20223/9/2022prn220309bReminder - Retroactive Provider Enrollment Date ProhibitedAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20222/24/2022prn220224aUPDATED: Illinois PASRR Program Redesign Implementation with State Partner, Maximus, Planned for March 14, 2022Hospitals; Long Term Care
20222/23/2022prn220223aBilling Guidance -- Oral Antivirals for the Treatment of COVID-19Pharmacies; Physicians
20222/17/2022prn220217a2021 Long Term Care (LTC) Cost Report Due Date/Cut-Off DateLong Term Care
20222/16/2022prn220216aInitiation of 2022 Settings Compliance ValidationWaiver
20222/15/2022prn220215aConfirmation of Coverage for Temporomandibular Joint Disorders and Craniomandibular Disorders per Public Act 102-0030All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20222/10/2022prn220210aSafety Training Certification ProgramsTransportation Providers
20222/9/2022prn220209aIllinois PASRR Program: Redesign Implementation with State Partner, Maximus, Planned for March 14, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20222/9/2022prn220209bIllinois SMHRF and SLP Screening and Assessments: Redesign Implementation with State Partner, Maximus, Planned for April 18, 2022 All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20222/1/2022prn220201aRebilling of Distant Site Telehealth Claims Previously Rejected for Error Code T89Community Mental Health Providers
20221/27/2022prn220127aNon-Emergency Ground Ambulance Services for HealthChoice Illinois (HCI) Managed Care Organization (MCO) Plan Customers - Informational Documents Available Regarding Changes Effective January 1, 2022  Transportation Providers
20221/26/2022prn220126aUPDATE: New Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care ServicesAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20221/26/2022prn220126bAdaptive Behavior Support (ABS) Service Rate Update Effective January 15, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20221/26/2022prn220126cSystem Issue Regarding Repeal of 3.5% Rate Reduction Hospitals
20221/26/2022prn220126dEmergency Instructions for COVID-19 Home Test KitsPharmacies
20221/25/2022prn220125aReinstatement of Physician Certification Statement (PCS) Form Requirement Effective February 1, 2022 Hospitals; Long Term Care; Transportation Providers
20221/19/2022prn220119aHealthChoice Illinois ADT ParticipationCommunity Mental Health Providers; Encounter Rate Clinics; Federally Qualified Health Centers; Nurses; Physicians; Rural Health Clinics; School Based/Linked Health Center Services
20221/18/2022prn220118aREMINDER - HealthChoice Illinois ADT Mandatory ParticipationLong Term Care; Supportive Living
20221/14/2022prn220114aPrevention of Spousal Impoverishment Standards for 2022Long Term Care; Supportive Living
20221/14/2022prn220114bImmunization Administration Rate Increase Effective January 1, 2022 Per Public Act 102-0043 All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20221/12/2022prn220112aPharmacy Instructions for COVID-19 Vaccine for Children Ages 5-11 Pharmacies
20221/12/2022prn220112bICF/IID and MC/DD Rate Changes Effective July 1, 2021 and January 1, 2022Long Term Care
20221/11/2022prn220111aPharmacy Billing of Subcutaneous Monoclonal Antibody TreatmentPharmacies
20221/3/2022prn220103aCommunity-Based Behavioral Health Rate Increases Effective January 1, 2022Community Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
202112/28/2021prn211228aDirected Payment and Passthrough Calculations on WebsiteHospitals
202112/23/2021prn211223aReporting Requirements for Admissions to Long Term Care (LTC) Facilities Effective January 1, 2022Long Term Care; Supportive Living
202112/21/2021prn211221aCoverage of Veteran Support Specialist Services Effective December 1, 2021 per Public Act  102-0043All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202112/21/2021prn211221bReimbursement for Second Postpartum Visit per Public Act 102-0665All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202112/20/2021prn211220aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsTransportation Providers
202112/16/2021prn211216aImmunization Administration Rate Increase Effective January 1, 2022 Per Public Act 102-0043 All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202112/14/2021prn211214aDetailed Billing Instructions for Changes to Non-Emergency Ground Ambulance Services for Managed Care Customers Effective January 1, 2022 Transportation Providers
202112/14/2021prn211214bUpdated IMPACT Terms and Conditions All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202112/13/2021prn211213aDental Programs in the School Setting per Public Act 102-0095Dentists; Local Health Departments; Federally Qualified Health Centers
202112/9/2021prn211209aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsTransportation Providers
202112/6/2021prn211206aReminder - HealthChoice Illinois ADT Mandatory ParticipationLong Term Care; Supportive Living
202112/2/2021prn211202aSafety Training Certification Programs Pursuant to Public Act 102-0364Transportation Providers
202112/1/2021prn211201a2022 Hospital Directed Payment and Passthrough Notifications on WebsiteHospitals
202111/30/2021prn211130aChanges in SBHS Administrative Claim Program Quarterly Financial Reporting and Certification of Public Expenditure (CPE) Time FramesLocal Education Agencies; School Based Health Services
202111/30/2021prn211130bCoverage of Licensed Clinical Professional Counselors and Licensed Marriage and Family Therapist Services Effective December 1, 2021All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202111/24/2021prn211124aCARES Act Funding – Final Grant Distributions to LTC ProvidersLong Term Care; Supportive Living
202111/24/2021prn211124bFiscal Year 2022 January through June 2022 Hospital Inpatient and Outpatient Assessment Programs - Notice of AssessmentsHospitals
202111/24/2021prn211124cFinal Phase-Out of Fee-for-Service Paper Claims and AttachmentsAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202111/23/2021prn211123aConfirmation of Safety Net Hospital Inpatient Psychiatric Per Diem Rate per Public Act 102-0004Hospitals
202111/23/2021prn211123bReconsideration of Previously Denied Ground Ambulance Claims per Public Act 102-0650Transportation Providers
202111/22/2021prn211122aDental Service Rate Update Effective for Dates of Service on and after January 1, 2022Dentists
202111/19/2021prn211119aConfirmation of Treatment for Port-Wine Stains Not Solely for Cosmetic Purposes per Public Act 102-0642All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202111/18/2021prn211118aProfessional Claims - Billing Procedure Code 99070 for Dispensing Fee for  340B-Purchased Drugs Effective with Dates of Service Beginning December 1, 2021Encounter Rate Clinics; Federally Qualified Health Centers; Local Health Departments; Nurses; Physicians; Rural Health Clinics; School Based/Linked Health Center Services
202111/18/2021prn211118bCOVID-19: Children Age 5-11 Vaccination Coverage; Vaccine Counseling Coverage; and Vaccine Additional Dose and Booster Dose ClarificationEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
202111/18/2021prn211118cInstructions for COVID-19 Vaccine for Children Age 5-11 YearsPharmacies
202111/9/2021prn211109aSupportive Living Program Room and Board Amounts for 2022Supportive Living
202111/8/2021prn211108aDental Office Reference Manual - Reissue Dentists; Federally Qualified Health Centers; Local Health Departments; Rural Health Clinics
202111/5/2021prn211105aReinstatement of Adult Chiropractic Services per Public Act 102-0043Chiropractors
202111/4/2021prn211104aBilling Support Hotline Hours of Operation Changes Beginning November 5, 2021Audiologists; Durable Medical Equipment Suppliers; Optometrists; Transportation Providers
202111/3/2021prn211103aOctober 2021 HCBS Final Rule Training Waiver
202110/27/2021prn211027aCommunity-Based Behavioral Services Handbook - Reissue Community Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
202110/27/2021prn211027bAnnual Rate Changes Effective October 1, 2021Hospice
202110/14/2021prn211014aHFS COVID Portal for the Uninsured Update: Requirements for Claim Submissions and RIN Requests Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Laboratory; Local Health Departments; Nurses; Physicians; Rural Health Clinics
202110/14/2021prn211014bInstructions for COVID-19 Vaccine Additional Dose and Booster DosePharmacies
202110/8/2021prn211008aConference for Interested Applicants: Supplemental Request for Qualifications for Care Coordination and Support OrganizationAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202110/7/2021prn211007aNotice of Supplemental Request for Qualifications for Care Coordination and Support OrganizationsAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
202110/1/2021prn211001aContinuing Prior Approval Requests for Early Synagis Dosing Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians; Rural Health Clinics
20219/30/2021prn210930aDirected Payment and Passthrough Calculations on WebsiteHospitals
20219/30/2021prn210930bUpdate to Coverage of Adaptive Behavior Support Services for Children with Autism Spectrum DisorderAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20219/29/2021prn210929aChange in Billing for Anesthesia Effective with Claims Received on and after October 1, 2021Hospitals; Nurses; Physicians
20219/29/2021prn210929bNo HFS Coverage for Off-Label Utilization of Ivermectin for Prevention or Treatment of COVID-19All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20219/29/2021prn210929cFY 2022 ARPA Funding to Nursing Facilities – Revised Submission Timelines and Q&A PostingLong Term Care
20219/24/2021prn210924aConfirmation of Reimbursement for Epilepsy Specialists via Telehealth per Public Act 102-0207All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20219/23/2021prn210923aPrior Approval Required on All Wheelchair Repairs Greater Than $750.00 Effective July 6, 2021Durable Medical Equipment Suppliers
20219/20/2021prn210920aDistribution of Fiscal Year 2022 Disproportionate Share Hospital (DSH) DeterminationHospitals
20219/17/2021prn210917aBilling Change for Non-Emergency Ground Ambulance Services for Managed Care Members Effective January 1, 2022All Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
20219/9/2021prn210909aUpdates: Procedure Code M0201 – Add-On for In-Home COVID-19 Vaccination; Administration of 3rd COVID-19 VaccineEncounter Rate Clinics; Federally Qualified Health Centers; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20219/3/2021prn210903aPrior Approval Requests for Synagis Continued through September 30, 2021Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians; Rural Health Clinics
20219/3/2021prn210903bChantix Shortage –Temporary Distribution of Apo-Varenicline 0.5 mg and 1 mg TabletsPharmacies; Physicians
20219/3/2021prn210903cAdditional Instructions for COVID-19 Vaccine 3rd Booster DosePharmacies
20219/3/2021prn210903dPreparation Materials Available for Upcoming Healthcare Transformation Collaboratives Application ProcessAll Medical Assistance Providers; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers; Dentists; Department of Alcohol and Substance Abuse Provider; Durable Medical Equipment Suppliers; Early Intervention Services; Encounter Rate Clinics; Federally Qualified Health Centers; Home Health Agencies; Hospice; Hospitals; Imaging Centers; Laboratory; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Local Education Agencies; Local Health Departments; Long Term Care; Nurses; Optometrists; Other Governmental Payors; Pharmacies; Physicians; Podiatrists; Renal Dialysis Clinics; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Supportive Living; Therapists; Transportation Providers; Waiver
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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director