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Provider Notice Issued 04/30/2021

                                                                Provider Bulletin

U-200 21-01

 

 

Date:   April 30, 2021

 

To:       Local Education Agencies (School-Based Health Services)

 

Re:      Chapter U-200, Handbook for Local Education Agencies

            Updates to Appendix U-2, Procedure Codes Billable by Local Education Agencies

 

 

This bulletin updates the Handbook for Local Education Agencies, Appendix 2 - Procedure Codes Billable by Local Education Agencies. This applies to claims billed to the Department for participants covered under both Medicaid fee-for-service and HealthChoice Illinois managed care plans.

 

Providers follow national coding updates as they are released by the applicable coding authority. The following updates to Appendix 2 are based on earlier changes to the CPT code set:

 

  •  96111 - Developmental Testing became obsolete 01/01/2019
  •  96112 - Developmental Test Administration and Report, first 60 minutes, became effective 01/01/2019
  •  96113 - Developmental Test Administration and Report, each additional 30 minutes, became effective 01/01/2019
  •  96152 - Individual Social Work, units of 15-minute increments, became obsolete 01/01/2020
  •  96153 - Group Social Work, units of 15-minute increments, became obsolete 01/01/2020
  •  96158 - Individual Social Work, initial 30 minutes, became effective 01/01/2020
  •  96159 - Individual Social Work, each additional 15 minutes, became effective 01/01/2020
  •  96164 - Group Social Work, initial 30 minutes, became effective 01/01/2020
  •  96165 - Group Social Work, each additional 15 minutes, became effective 01/01/2020                   


Appendix 2 of the
Handbook for Local Education Agencies has been revised. Questions regarding this bulletin may be directed to a medical assistance consultant in the Bureau of Professional and Ancillary Services at 877-782-5565.

 

Instructions for updating the Handbook for Local Education Agencies:

 

Appendix 2, Procedure Codes Billable by Local Education Agencies

Remove pages (6), (7), (8), and (9) and insert new pages (6), (7), (8), and (9)


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