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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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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
20219/1/2021prn210901aDepartment of Human Services Medical Field Operations – Downstate #163 Task-Based to Facility-Based Assignments Effective September 1, 2021 Long Term Care; Supportive Living
20219/1/2021prn210901bNotice of 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
20219/1/2021prn210901cUse of Modifier GT and Place of Service Code 02 to Specify Telehealth Delivery Mode for Behavioral Health Services Effective October 1, 2021Community Mental Health Providers; Licensed Clinical Psychologists; Licensed Clinical Social Workers; Physicians
20218/31/2021prn210831aConfirmation of Access to Mental Health and Substance Use Disorder Treatment, and Provider Network Adequacy under Public Act 102-0144All 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
20218/31/2021prn210831bFiscal Year 2022 ARPA Funding to Nursing Facilities – Revised as of 08/31/2021Long Term Care
20218/30/2021prn210830aApplication for Benefits Eligibility (ABE) – Applicant’s Choice of Medical Benefit ProgramLong Term Care; Supportive Living
20218/27/2021prn210827aFiscal Year 2022 ARPA Funding to Nursing FacilitiesLong Term Care
20218/26/2021prn210826aApplication for Benefits Eligibility (ABE) – Scheduled System OutageLong Term Care; Supportive Living
20218/26/2021prn210826cRepeal of 3.5% Rate Reduction per Public Act 102-0016 Effective July 1, 2021Hospitals
20218/25/2021prn210825aHandbook for Providers of Transportation Services ReissueTransportation Providers
20218/24/2021prn210824aFor Immediate Action - Updating Contact Information in IMPACT by September 15, 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
20218/24/2021prn210824bConfirmation of Coverage for Pancreatic Cancer ScreeningAll 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
20218/23/2021prn210823aImplementation of New Policy for Systematic Processing of Long Term Care Admissions and Additional MEDI EditsLong Term Care; Supportive Living
20218/20/2021prn210820aConfirmation of Coverage for Biomarker TestingAll Medical Assistance Providers; Ambulatory Surgical Treatment Centers; All Kids Application Agents Instructions & Alerts; 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
20218/20/2021prn210820bCoverage for Diabetes Prevention and Management Programs Effective August 1, 2021All Medical Assistance Providers; Transportation 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; Waiver
20218/17/2021prn210817aFinal Reminder - HealthChoice Illinois ADT Mandatory Hospital ParticipationHospitals
20218/13/2021prn210813aNext Round of Healthcare Transformation Collaboratives FundingAll 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
20218/13/2021prn210813bPromoting Interoperability Program Attestation DeadlineDentists; Nurses; Optometrists; Physicians
20218/12/2021prn210812aAll Kids School-Based Dental Program Registration Dentists
20218/5/2021prn210805aSchool Based/Linked Health Center Enrollment for Behavioral Health ServicesSchool Based/Linked Health Center Services; Licensed Clinical Social Workers; Licensed Clinical Psychologists
20218/5/2021prn210805bPrior Approval Requests for SynagisEncounter Rate Clinics; Federally Qualified Health Centers; Hospitals; Local Health Departments; Nurses; Pharmacies; Physicians; Rural Health Clinics
20217/30/2021prn210730aPayment Error Rate Measurement (PERM) AuditsLong Term Care
20217/30/2021prn210730bIllinois Statewide Transition Plan (STP) Initial ApprovalWaiver
20217/27/2021prn210727aThird Party Requests for Medicaid Patient Bills and Medical RecordsHospitals
20217/26/2021prn210723aRe:      Illinois Medicare-Medicaid Alignment Initiative Statewide Expansion July 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; 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
20217/16/2021prn210716aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental PaymentsTransportation Providers
20217/16/2021prn210714aFiscal Year 2022 Long Term Care Provider AssessmentLong Term Care
20217/15/2021prn210715aHealthChoice Illinois ADT Mandatory Hospital Participation ReminderHospitals
20217/9/2021prn210709aRe: Transportation Policy Clarification Regarding Dual Medicare-Medicaid Beneficiaries and Specialty Care Transports (SCT)Transportation Providers
20217/7/2021prn210707aPublicly Owned Transportation Providers – Ground Emergency Medical Transportation  (GEMT) Supplemental PaymentsTransportation Providers
20217/2/2021prn210702aUpdate to COVID-19 Vaccine Administration Coding and Reimbursement Effective June 8, 2021 - Add-on for In-Home Vaccinations of Certain Medicaid CustomersLocal Health Departments; Nurses; Physicians; Federally Qualified Health Centers; Rural Health Clinics; Encounter Rate Clinics
20216/30/2021prn210630aState Fiscal Year 2022 Outpatient High Volume Hospital DeterminationHospitals
20216/29/2021prn210629aSupportive Living Program Dementia Care Settings Participants - Delayed Egress as a Safety InterventionSupportive Living
20216/29/2021prn210629bDirected Payment and Passthrough Calculations on WebsiteHospitals
20216/16/2021prn210616aChapter A-200, Handbook for Practitioners Rendering Medical Services  Claim Submission Policy Update for Services Rendered by Advanced Practice Nurses Effective with Dates of Service on and after September 1, 2021Nurses; Physicians
20216/16/2021prn210616bRe: Medicare Beneficiary Identifier (MBI) Field Completion for 837P Crossover ClaimsAll 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; 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
20216/16/2021prn210616cRe: Implementation of HealthChoice Illinois Admission, Discharge and Transfer (ADT) PlatformCommunity Mental Health Providers; Department of Alcohol and Substance Abuse Provider; Encounter Rate Clinics; Federally Qualified Health Centers; Nurses; Physicians; Rural Health Clinics; School Based/Linked Health Center Services
20216/16/2021prn210616dPricing Recalculation for 340B Purchased Renal Dialysis Injectable Drugs Hospitals; Renal Dialysis Clinics
20216/15/2021prn210615aFiscal Year 2022 July through December 2021 Hospital Inpatient and Outpatient Assessment Programs - Notice of AssessmentsHospitals
20216/9/2021prn210609a LTC Monthly Occupied Bed Provider Assessment Long Term Care
20216/8/2021prn210608a​Letters of Intent for Upcoming Healthcare Transformation Collaboratives Funding Due June 15, 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; 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
20216/7/2021prn210607aGuidance to Long Term Care Providers Regarding the Implementation of HealthChoice Illinois ADTLong Term Care; Supportive Living
20216/4/2021prn210604aCorrection for Reporting Actual Acquisition Cost on Managed Care Plan Claims for  Providers Participating in the 340B ProgramAll 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; 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
20216/1/2021prn210601aInpatient and Outpatient Hospital Assessment Rates for  Fiscal Year 2022 -July 2021 through December 2021Hospitals
20215/28/2021prn210528aHospice Nursing Home Room and Board N39 RejectionsHospice
20215/24/2021prn210524aDepartment of Human Services – Limiting Submission of Supporting Documentation to a Single Case or IndividualLong Term Care; Supportive Living
20215/14/2021prn210514aAll Kids School Dental Program UpdateDentists
20215/6/2021prn210506aLTC Monthly Occupied Bed Provider AssessmentLong Term Care
20215/3/2021prn210503aUPDATE: 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; 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
20214/30/2021prn210430aChapter U-200, Handbook for Local Education Agencies Updates to Appendix U-2, Procedure Codes Billable by Local Education AgenciesSchool Based Health Services
20214/30/2021prn210430bIllinois Medicare-Medicaid Alignment Initiative Statewide Expansion July 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; 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
20214/30/2021prn210430cSafety Training Certification ProvidersTransportation Providers
20214/30/2021prn210430dDental Benefit Limitations AmendedDentists; Encounter Rate Clinics; Federally Qualified Health Centers; Rural Health Clinics
20214/29/2021prn210429a​Letters of Intent for Upcoming Healthcare Transformation Collaboratives Funding Now Being AcceptedAll 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; 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
20214/29/2021prn210429bDepartment of Human Services Utilization of the Central Scanning Unit for Long Term Care Providers Effective April 26, 2021Long Term Care; Supportive Living
20214/26/2021prn210426aUpdated Family Support Program COVID-19 GuidanceCommunity Mental Health Providers; Hospitals
20214/21/2021prn210421aProvider Responsibility for Completing ApplicationsLong Term Care; Supportive Living
20214/15/2021prn210415aUpdate:  Williams Consent Decree - Front Door Diversion ProgramAll 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; 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
20214/15/2021prn210415bBilling Reminders for Providers Participating in the 340B ProgramAll 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; 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 Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director