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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20197/10/2019prn190710aHospital Rate Sheets Effective July 1, 2019Hospitals
20197/9/2019prn190709aUpdated Pricing CalculatorsHospitals
20197/3/2019prn190703aChapter K-200, Handbook for Hospice Agencies Hospice Billing Changes Regarding Service Line Date and Occurrence Code Requirements Effective with Dates of Service on and after August 1, 2019Hospice
20196/26/2019prn190626aFiscal Year 2020 Expansion to Illinois DocAssistAll Medical Assistance Providers
20196/26/2019prn190626bCorrection to Hospital Outpatient Calculator Relative Weights All Medical Assistance Providers
20196/25/2019prn190625aTraining on New ABE Partner Portal Functionality Report the Birth of a Newborn and Provider RequirementsHospitals
20196/25/2019prn190625bOrdering, Referring, Prescribing - National Provider Identifier (NPI) Requirements - Delay in Implementation to October 1, 2019All Medical Assistance Providers
20196/17/2019prn190617aUPDATE:  New Section Published under the Comprehensive Billing Guide for Medicaid Managed Care Services All Medical Assistance Providers
20196/17/2019prn190617bSystem Programming and Claim Submission Updates Community Mental Health Providers
20196/3/2019prn190603aJune 7th WebEx – Sharepoint Site for Information Exchange with LTC ProvidersLong Term Care; Supportive Living
20196/3/2019prn190603bDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20196/3/2019prn190603cNew Comprehensive Billing Guide for Medicaid Managed Care ServicesAll Medical Assistance Providers
20196/3/2019prn190603dDental Member Eligibility Verification Dentists
20195/31/2019prn190531aNew Inpatient APR-DRG and Outpatient EAPG Grouper Version Updates Effective July 1, 2019Hospitals
20195/22/2019prn190522aPrescriber National Provider Identifier (NPI) Requirements Effective July 1, 2019Pharmacies
20195/21/2019prn190521aInstructions to Long Term Care Providers for Locating the Redetermination Date of Medicaid Eligible Residents in the Medical Electronic Data Interchange (MEDI) System Long Term Care; Supportive Living
20195/16/2019prn190516aAdvance Payment Requests Due to Financial HardshipLong Term Care; Supportive Living
20195/16/2019prn190516bLong Term Care Admission Transaction Rejections without NotificationLong Term Care; Supportive Living
20195/15/2019prn190514dALERT: Statewide HealthChoice Illinois Managed Long Term Services and Supports Implementation – Coverage Effective July 1, 2019All Medical Assistance Providers
20195/14/2019prn190514bThe Medical Electronic Data Interchange (MEDI) System – Identifying Dual Eligible Beneficiaries Enrolled in HealthChoice Illinois Managed Long Term Services and Supports (MLTSS) All Medical Assistance Providers
20195/14/2019prn190514cMedicare-Medicaid Alignment Initiative (MMAI) - Central Illinois Region Managed Care UpdateAll Medical Assistance Providers
20195/2/2019prn190502aCritical Access Pharmacies Self-Attest Period Open for Third Fiscal Quarter of 2019  Pharmacies
20195/2/2019prn190502bMedicaid School-Based Health Services FY17 Final Calculated RatesSchool Based Health Services
20195/1/2019prn190501aUniversal Provider Roster Submission Requirements for Illinois Medicaid Managed All Medical Assistance Providers
20194/29/2019prn190429aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20194/26/2019prn190426aTransportation PowerPoint Presentation for HFS 2270, Physician Certification Statement Transportation Providers; Hospitals; Long Term Care
20194/11/2019prn190411aPatient Credit File Download through the Medical Electronic Data Interchange (MEDI) SystemLong Term Care; Supportive Living
20194/8/2019prn190408aCritical Access Pharmacies (CAP) Attestation Period ClosurePharmacies
20194/5/2019prn190405aRate Year 2020 Determination for Disproportionate Share, Medicaid Percentage Adjustment, and County Trauma Center Adjustment PaymentsAll Medical Assistance Providers
20194/4/2019prn190404aReimbursement and Billing for Services Effective April 1, 2019Long Term Care
20193/29/2019prn190329aPromoting Interoperability Program Attestation ExtensionDentists; Nurses; Optometrists; Physicians
20193/28/2019prn190328aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20193/19/2019prn190319aProvider Quality Assurance Participation
20193/19/2019prn190319bHospital Outpatient Acute Care Rate and Outpatient Calculator UpdatesHospitals
20193/8/2019prn190308aCritical Access Pharmacies’ (CAP) Self-Attest Criteria  Pharmacies
20193/1/2019prn190301aHospital Cost Report Forms and InstructionsAll Medical Assistance Providers; Hospitals
20192/28/2019prn190227aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20192/20/2019prn190220aAn Overview of the Preadmission and Conversion Screenings Process for Potential Supportive Living Program Participants Long Term Care; Supportive Living; Hospitals
20192/15/2019prn190215aHFS 2270, Physician Certification Statement for Non-Emergency TransportationHospitals; Long Term Care; Transportation Providers
20192/14/2019prn190214aReminder Regarding Hospital Use of Modifier 90 for Reference (Outside) Laboratory ServicesHospitals
20192/5/2019prn190205aProgramming Update Regarding DHS Social Services Special EligibilityCommunity Mental Health Providers
20192/5/2019prn190205bSubmission of Claims for Multiple Units of the Same Service Rendered to a Participant at Different Locations on the Same DateCommunity Mental Health Providers
20192/1/2019prn190201aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20191/16/2019prn190116aHandbook for Providers of School Based/Linked Health Centers Services Reissue All Medical Assistance Providers
20191/15/2019prn190115aRevised Orthodontia Scoring ToolDentists
20191/11/2019prn190111aCurrent Dental Terminology (CDT) Codes - UpdateDentists
20191/11/2019prn190111bHandbook for Providers of Audiology Services Reissue Audiologists
20191/7/2019prn190107aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
20191/2/2019prn190102aPrevention of Spousal Impoverishment Standards for 2019 Long Term Care; Supportive Living
201812/28/2018prn181228aOrdering, Referring, Prescribing - National Provider Identifier (NPI) Requirements - Delay in Implementation All Medical Assistance Providers
201812/21/2018prn181221aHandbook for Providers of Transportation Services Reissue Transportation Providers
201812/20/2018prn181220aExondys 51 and Spinraza Prior Authorization Criteria UpdateAll Medical Assistance Providers
201812/14/2018prn181214aBilling Issues WebinarCommunity Mental Health Providers
201812/12/2018prn181212aHandbook for Practitioners Rendering Medical Services Re-issue All Medical Assistance Providers
201812/7/2018prn181207a1115 Waiver Pilot Program: Intensive In-Home Billing and Service Delivery RequirementsAll Medical Assistance Providers
201812/4/2018prn181204aDue Date for Payment of the Fiscal Year 2019 2nd Quarter Licensed Bed AssessmentLong Term Care
201811/30/2018prn181130aUtilization Review UpdateHospitals
201811/30/2018prn181130bIntegrated Health Home ImplementationAll Medical Assistance Providers
201811/21/2018prn181121aPhysician Certification Statement for All Non-Emergency Transportation Hospitals; Transportation Providers
201811/20/2018prn181120aPayment to SMHRFs for Therapeutic Leave of Absence DaysLong Term Care
201811/15/2018prn181115aFederally Qualified Health Centers (FQHC) Reimbursement for DenturesFederally Qualified Health Centers
201811/15/2018prn181115bPricing Process for Loaner Items Effective December 1, 2018Durable Medical Equipment Suppliers
201811/9/2018prn181109aDue Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
201811/9/2018prn181109cOrdering, Referring, Prescribing - National Provider Identifier (NPI) Requirements All Medical Assistance Providers
201811/8/2018prn181108bSupportive Living Program Room and Board Amounts for 2019 All Medical Assistance Providers
201811/5/2018prn181105aHepatitis C Direct Acting Antiviral Criteria UpdateAll Medical Assistance Providers
201811/2/2018prn181102aApproved and Authorized Representative Forms All Medical Assistance Providers
201810/26/2018prn181026aNotice of Informational Webinars on Provisional Eligibility – Follow Up IssuesLong Term Care; Supportive Living
201810/19/2018prn181019aCommunity Based Behavioral Services HandbookCommunity Mental Health Providers
201810/18/2018prn181018aExtension in Due Date for Payment of the October 2018 Hospital AssessmentHospitals
201810/18/2018prn181018bPosting of Admission Transaction Audit Numbers (TANs) and Status CodesAll Medical Assistance Providers; Long Term Care; Supportive Living
201810/12/2018prn181012aExtension in Due Date for Payment of the Monthly Occupied Bed Provider AssessmentLong Term Care
201810/12/2018prn181012bBetter Care Illinois Behavioral Health Initiative: Residential/Inpatient Treatment for Individuals with Substance Use Disorder (SUD) PilotAll Medical Assistance Providers
201810/11/2018prn181011aBetter Care Illinois Behavioral Health Initiatives: Case Management Pilot, Peer Recovery Support Services Pilot, Clinically Managed Residential Withdrawal Management Pilot All Medical Assistance Providers
201810/5/2018prn181005aImproper Submission of the CMS 1500, Health Insurance Claim FormAll Medical Assistance Providers
20189/28/2018prn180928aWebinar on the Application for Benefits Eligibility (ABE) Partner Portal – Requirements for the Data Sharing Agreement and Security and Privacy Controls Long Term Care; Nurses; Supportive Living
20189/28/2018prn180928bChapter U-200, Handbook for Local Education AgenciesLocal Education Agencies; School Based Health Services
20189/28/2018prn180928cFederal Fiscal Year 2019 Safety Net DeterminationHospitals
20189/28/2018prn180928dDistribution of Fiscal Year 2019 Disproportionate Share Hospital (DSH) DeterminationHospitals
20189/24/2018prn180924aAnnual Rate Changes Effective October 1, 2018Hospice
20189/21/2018prn180921aStage 4 Cancer MedicationsAll Medical Assistance Providers
20189/20/2018prn180920aDental EncountersFederally Qualified Health Centers
20189/20/2018prn180920bALERT: Fraudulent Prescription RequestsDentists; Hospitals; Nurses; Optometrists; Pharmacies; Physicians; Podiatrists
20189/20/2018prn180920cHospice Coverage in Managed Care Plans Hospice
20189/17/2018prn180917aMedical Electronic Data Interchange (MEDI) System – Automatic Updates for Increases and Decreases to the Resident’s Patient Credit Amount  Long Term Care; Supportive Living
20189/17/2018prn180917bPayment Change for Therapeutic Leaves of AbsenceLong Term Care
20189/14/2018prn180914aHealthChoice Illinois – Special Needs Children & Medically Fragile Technology Dependent Waiver Populations - Implementation UpdateAll Medical Assistance Providers
20189/13/2018prn180913aIllinois Hospital Provider Assessment Payment Procedure Hospitals
20189/12/2018prn180912aMotorized Wheelchairs Long Term Care
20189/10/2018prn180910aRemoval of DHS Social Services – Special Eligibility Segment Requirement Effective October 1, 2017Community Mental Health Providers
20189/6/2018prn180906aBetter Care Illinois Behavioral Health Initiative: Intensive In-Home Pilot Program All Medical Assistance Providers
20189/6/2018prn180906bChapter M-200, Handbook for Providers of Durable Medical Equipment and Supplies Change Regarding Multiple Participants Billed on Same HFS 2210 Claim Form Durable Medical Equipment Suppliers
20188/27/2018prn180827aUpdate to Community Mental Health Services Fee Schedule Effective August 1, 2018Community Mental Health Providers
20188/20/2018prn180820aFiscal Year 2019 Long Term Care Provider AssessmentLong Term Care
20188/16/2018prn180816aExtension in Due Date for Payment of the August 2018 Hospital AssessmentHospitals
20188/9/2018prn180809aFiscal Year 2019 Provider Assessment ProgramLong Term Care
20188/9/2018prn180809bFiscal Year 2019 Provider Assessment ProgramWaiver
20188/7/2018prn180807aUpdated Pricing Calculators  Hospitals
20188/6/2018prn180806aStandardized “Provider Roster” TemplateHospitals
20188/1/2018prn180801aIntegrated Health Homes Town Hall MeetingsAll Medical Assistance Providers
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