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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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202212/1/2022prn221201aUpdates to Hospital Reimbursement Components Effective January 1, 2023Hospitals
202212/1/2022prn221201bBilling T1040 for Behavioral Health Encounters - Effective Date Extension to February 1, 2023Encounter Rate Clinics; Federally Qualified Health Centers; Rural Health Clinics
202212/1/2022prn221201cElectronic Visit Verification (EVV)Waiver
202211/30/2022prn221130aFiscal Year 2023 Long Term Care Provider Assessment Outstanding Balance Worksheets – Occupied Bed Assessment April-June 2022 Reporting PeriodsLong Term Care
202211/30/2022prn221130bFiscal Year 2023 January through June 2023 Hospital Inpatient and OutpatientHospitals
202211/21/2022prn221121aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Payment UpdateTransportation Providers
202211/17/2022prn221117aChange to Non-Emergency Ambulance Transportation Criteria for Stairs/Lifting Assistance per Public Act 102-1037 Effective December 1, 2022Transportation Providers
202211/15/2022prn221115a2023 Hospital Directed Payment and Passthrough and Proposed Supplemental Payments Notifications on WebsiteHospitals
202211/10/2022prn221110aSupportive Living Program Room and Board Amounts for 2023Supportive Living
202211/4/2022prn221104aPathways to Success Home and Community-Based Services Overview WebinarsCommunity Mental Health Providers
202211/4/2022prn221104bAll 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
202211/1/2022prn221101aChange in Billing for Behavioral Health Encounters Effective December 1, 2022Encounter Rate Clinics; Federally Qualified Health Centers; Rural Health Clinics
202210/31/2022prn221031aUpdates to the Designated Network of Mobile Crisis Response ProvidersAll 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
202210/31/2022prn221031bPharmacists Billing for Hormonal Contraceptive Assessment and Consultation per Public Act 102-0103 Effective August 1, 2022Nurses; Pharmacies; Physicians
202210/31/2022prn221031cCOVID-19 Bivalent Booster Vaccination Age Range Lowered Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians; Rural Health Clinics
202210/27/2022prn221027aUpdated Community-Based Behavioral Health Fee Schedule and Billing GuidanceCommunity Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
202210/25/2022prn221025aReminder to Complete the Survey of Illinois Mental Health and Substance Use Disorder Providers Regarding Service Capacity to Participate in the Upcoming SAMHSA CCBHC Medicaid DemonstrationCommunity Mental Health Providers; Federally Qualified Health Centers
202210/21/2022prn221021aHospital Utilization Review Policy Change Regarding Inpatient Detoxification Admissions within 60 Days of Previous Admission per Public Act 102-0043Hospitals
202210/21/2022prn221021bCOVID-19 Veklury (Remdesivir) Treatment for Pediatric Patients Effective April 25, 2022Hospitals
202210/17/2022prn221017aSurvey of Illinois Mental Health and Substance Use Disorder Providers Regarding Service Capacity to Participate in the Upcoming SAMHSA CCBHC Medicaid DemonstrationCommunity Mental Health Providers; Federally Qualified Health Centers
202210/17/2022prn221017bFiscal Year 2023 Safety Net Obstetrical Payment ProgramHospitals
202210/13/2022prn221013aFiscal Year 2022 Critical Access Hospital Supplemental PaymentHospitals
202210/6/2022prn221006aDon't let your clients lose their MedicaidAll 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
202210/6/2022prn221006bCOVID-19 Limited Treatment Coverage of Oral Medications and Monoclonal Antibody Administration for the Uninsured PopulationAll 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
202210/5/2022prn221005aPharmacy COVID-19 Booster UpdatePharmacies
202210/5/2022prn221005bUniversal Provider Roster Submission Requirements for Illinois Medicaid Managed Care 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
202210/5/2022prn221005cHandbook for Care Coordination and Support Organizations (CCSOs)Community Mental Health Providers
202210/4/2022prn221004aMedicare-Medicaid Alignment Initiative Bed Day Clarification HFS 1446 Long-Term Care (SNF/ICF) Provider Monthly Assessment ReportLong Term Care
20229/30/2022prn220930aConfirmation of Hormone Therapy Coverage Effective January 1, 2024, per Public Act 102-0804All 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
20229/30/2022prn220930bNew COVID-19 Booster Vaccinations Effective August 31, 2022Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20229/30/2022prn220930cFederal Fiscal Year 2023 Safety Net DeterminationHospitals
20229/30/2022prn220930dPrior Approval Requests for Synagis DosingEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians
20229/30/2022prn220930ePost Kidney Transplant Preferred Drugs under the Emergency Medical ProgramHospitals; Nurses; Pharmacies; Physicians
20229/29/2022prn220929aDirected Payment and Passthrough Calculations on WebsiteHospitals
20229/29/2022prn220929bConfirmation of Home Health Coverage Effective January 1, 2024, per Public Act 102-0816All 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
20229/22/2022prn220922aUPDATE: 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
20229/22/2022prn220922bHospice Annual Rate Changes Effective October 1, 2022Hospice
20229/21/2022prn220921aCollection of Certified Nurse Assistant (CNA) Employee Information – October 2022 through December 2022 PaymentsLong Term Care
20229/16/2022prn220916aUpdates Regarding Preadmission Assessment Requirements for Long Term Care ProvidersHospitals; Long Term Care
20229/16/2022prn220916bCertified Community Behavioral Health Clinic WebinarCommunity Mental Health Providers
20229/14/2022prn220914aNursing Facilities – Quality and Certified Nursing Assistant (CNA) Wage Subsidy PaymentsLong Term Care
20229/9/2022prn220909aMonkeypox Testing and Vaccine AdministrationEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Laboratory; Local Health Departments; Nurses; Physicians; Rural Health Clinics; School Based/Linked Health Center Services
20229/9/2022prn220909bDistribution of Fiscal Year 2023 Disproportionate Share Hospital (DSH) DeterminationHospitals
20229/9/2022prn220909cChanges to the Illinois All Kids Program   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
20229/7/2022prn220907aFY 2023 ARPA Funding to Nursing FacilitiesLong Term Care
20229/6/2022prn220906aAbortion Services - Rate Increase and Billing Change 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
20228/30/2022prn220830aSexual Assault Treatment Program Private Insurance Opt-Out Alternative Per Public Act 102-1097Hospitals; Laboratory; Nurses; Pharmacies; Physicians; Transportation Providers
20228/29/2022prn220829aHospice Nursing Home Room and Board Adjustments and RepaymentHospice
20228/26/2022prn220826aNursing Facilities Billing for Telehealth Originating Site FeeLong Term Care
20228/25/2022prn220825aSafety Training Certification ProgramsTransportation Providers
20228/24/2022prn220824aHFS 1409X – Illinois Medicaid Pharmacy Prior Authorization Request FormPharmacies
20228/22/2022prn220822aAll Kids School-Based Dental Program RegistrationDentists
20228/12/2022prn220812aFiscal Year 2023 Long Term Care Provider Assessment – Report ClarificationsLong Term Care
20228/10/2022prn220810aSubstance Use Prevention and Recovery (SUPR) Rate Increases Effective July 1, 2022, per Public Act 102-0699Department of Alcohol and Substance Abuse Provider
20228/9/2022prn220809aQualified Care Coordination and Support Organizations in Designated Service Areas for Pathways to Success Services      Community Mental Health Providers
20228/8/2022prn220808aPharmacy COVID-19 Vaccination and Booster UpdatePharmacies
20228/8/2022prn220808bCOVID-19 Vaccination and Booster UpdateEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20228/5/2022prn220805aCollection of Facility Payee Information for Directed Payments from MCO PlansLong Term Care
20228/2/2022prn220802aHFS COVID Portal for the Uninsured Down for MaintenanceEncounter Rate Clinics; Federally Qualified Health Centers; Laboratory; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20227/29/2022prn220729aBilling Update for Diabetes Prevention and Management Programs 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
20227/27/2022prn220727aCOVID-19 Vaccine Counseling Coverage UpdatesEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20227/27/2022prn220727bClarification of Reimbursement for Postpartum VisitsAll 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
20227/25/2022prn220725aConfirmation of Coverage for Continuous Glucose Monitors per Public Act 102-1093 Pharmacies
20227/20/2022prn220720aWebinar: July 25, 2022, 9:00 – 11:00 am on New Reimbursement MethodologyLong Term Care
20227/19/2022prn220719aExtension in Due Date for Payment of the July 2022 Hospital AssessmentHospitals
20227/18/2022prn220718aFiscal Year 2023 Long Term Care Provider AssessmentLong Term Care
20227/14/2022prn220714aRate Increases Effective July 1, 2022, per Public Act 102-0699Supportive Living
20227/13/2022prn220713aRate Increases Effective July 1, 2022, per Public Act 102-0699Long Term Care
20227/12/2022prn220712aMedicaid 1135 Alternative Settings Waiver Is DiscontinuedLong Term Care
20227/8/2022prn220708aCollection of Certified Nurse Assistant (CNA) Employee Information - UpdatesLong Term Care
20227/6/2022prn220706aCommunity-Based Behavioral Services Handbook - ReissueCommunity Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
20227/5/2022prn220705aChanges in Billing Policy for Integrated Assessment and Treatment Planning (IATP), Community Support, and Crisis Stabilization ServicesCommunity Mental Health Providers
20227/5/2022prn220705bRe:      Hospital Outpatient Claims for Sexual Assault Treatment Services per  Public Act 102-0699Hospitals
20226/30/2022prn220630aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Payment UpdatesTransportation Providers
20226/30/2022prn220630b New Agreements, Address Updates, and Application for Benefits Eligibility (ABE) Screen ChangesAll Kids Application Agents Instructions & Alerts; Long Term Care; Federally Qualified Health Centers
20226/30/2022prn220630cDirected Payment and Passthrough Calculations on WebsiteHospitals
20226/28/2022prn220628aHealth Benefit Coverage for Immigrant Adults Aged 42 through 64 Years and Continued Emergency Medical Coverage for Persons Not Meeting Immigration StatusAll 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
20226/27/2022prn220627aImmunization Administration Rate Increase to $16.71 Effective July 1, 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
20226/24/2022prn220624aGroup Care Credit and Additional Clarifications during the Public Health Emergency   Long Term Care; Supportive Living
20226/24/2022prn220624bEmergency Medical Coverage for Persons Not Meeting Immigration Status with COVID-19 DiagnosisAll 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
20226/23/2022prn220623aWebinar: Overview of Certified Nursing Assistant (CNA) Pay-Scale ProgramLong Term Care
20226/21/2022prn220621aCollection of Certified Nurse Assistant (CNA) Employee InformationLong Term Care
20226/21/2022prn220621bCoverage of Psychiatric Collaborative Care Model Services 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
20226/16/2022prn220616aOccupational Therapy Evaluation Rate Increases Effective March 1, 2022Therapists
20226/16/2022prn220616bCOVID-19 Pediatric Booster Coverage Effective May 17, 2022Encounter Rate Clinics; Federally Qualified Health Centers; Local Health Departments; Nurses; Physicians; Rural Health Clinics; School Based/Linked Health Center Services
20226/14/2022prn220614aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsTransportation Providers
20226/6/2022prn220606aFederal Fiscal Year 2023 Outpatient High Volume Hospital DeterminationHospitals
20226/3/2022prn220603aHospital Average Commercial Rate (ACR) Data CollectionHospitals
20226/2/2022prn220602aCollection of Certified Nurse Assistant (CNA) Employee InformationLong Term Care
20225/31/2022prn220531aFiscal Year 2023 July through December 2022 Hospital Inpatient and Outpatient Assessment Programs - Notice of Assessments and Assessment Adjustment CalculationsHospitals
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
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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director




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