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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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20229/30/2022prn220930aNewConfirmation 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
20229/30/2022prn220930bNewNew COVID-19 Booster Vaccinations Effective August 31, 2022Encounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Physicians; Rural Health Clinics
20229/30/2022prn220930cNewFederal Fiscal Year 2023 Safety Net DeterminationHospitals
20229/30/2022prn220930dNewPrior Approval Requests for Synagis DosingEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians
20229/30/2022prn220930eNewPost Kidney Transplant Preferred Drugs under the Emergency Medical ProgramHospitals; Nurses; Pharmacies; Physicians
20229/29/2022prn220929aNewDirected Payment and Passthrough Calculations on WebsiteHospitals
20229/29/2022prn220929bNewConfirmation 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
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
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JB Pritzker, Governor • Theresa Eagleson, Director




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