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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Notices

 

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20206/5/2020prn200605aNewDental Office Reference Manual – Re-issueDentists; Federally Qualified Health Centers; Local Health Departments; Rural Health Clinics
20206/5/2020prn200605bNewIM+CANS Provider Portal and Batch Import Data File Available July 1, 2020Community Mental Health Providers; Hospitals; Physicians
20206/2/2020prn200602aHospital Professional Billing Transition to the Outpatient Institutional Claim Format July 1, 2020Hospitals
20205/29/2020prn200529aManaged Care Plan Rate Increase for Behavioral Health Services Community Mental Health Providers; Department of Alcohol and Substance Abuse Provider
20205/28/2020prn200528aUpdate: Extension of Timely Filing Override for FSP Residential Providers Hospitals
20205/22/2020prn200522aSpectacle Fabrication Resuming at Dixon Correctional FacilityOptometrists; Physicians
20205/22/2020prn200522bUse of Condition Code DR for Institutional Claims – COVID-19Ambulatory Surgical Treatment Centers; Hospice; Hospitals; Long Term Care; Renal Dialysis Clinics; Supportive Living
20205/20/2020prn200520aBilling Procedures for Fee-For-Service Reimbursement and Telehealth Billing ClarificationEncounter Rate Clinics; Federally Qualified Health Centers; Rural Health Clinics
20205/20/2020prn200520bPharmacy – 90-Day Supply and Over-the-Counter Covered ProductsPharmacies
20205/18/2020prn200518aCOVID-19 Testing is Free to Illinois ResidentsAll 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
20205/18/2020prn200518bAdditional Detail Regarding Temporary Prior Approval Requirement Changes Related to the COVID-19 Public Health EmergencyDurable Medical Equipment Suppliers; Home Health Agencies
20205/14/2020prn200514aUpdate: New and Revised 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
20205/8/2020prn200508aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20205/8/2020prn200508bNew Transaction Audit Number (TAN) Status Code 17 Long Term Care
20205/7/2020prn200507aPayment Error Rate Measurement (PERM) Audit for Reporting Year 2019All 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
20205/7/2020prn200507bHospital Submission of Duplicative Paper ClaimsHospitals
20205/5/2020prn200505aTeledentistry Services Prompted by COVID-19Dentists; Federally Qualified Health Centers; Encounter Rate Clinics; Rural Health Clinics
20205/4/2020prn200504aTPL Code 920 For Medicare Advantage Plan Participants – Payment Methodology Ambulatory Surgical Treatment Centers; Hospitals; Renal Dialysis Clinics
20205/4/2020prn200504bDelay in Implementing In-Home Shift Nursing Hour Reductions During the COVID-19 Public Health EmergencyHome Health Agencies
20205/1/2020prn200501aExtension of the Temporary Rate Increase during COVID-19 Pandemic and Continuation of Day Services BillingLong Term Care
20204/27/2020prn200427a Third Notice: New HFS Provider Resolution Process and Portal effective 02/28/2020All 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
20204/27/2020prn200427bPhysician Certification Statement (PCS) Not Required for Hospital-to-Hospital Non-Emergency Transports Hospitals; Transportation Providers
20204/24/2020prn200424aIntegrated Health Home Implementation Delay to January 1, 2021 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; 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
20204/23/2020prn200423aTemporary Guidelines to allow designated Assisters to assist clients telephonically during the COVID-19 emergencyAll Kids Application Agents Instructions & Alerts; Local Health Departments
20204/21/2020prn200421aMobile Crisis Response Services Update – COVID-19 Community Mental Health Providers
20204/21/2020prn200421bExtension in Due Date for Payment of the April 2020 Hospital AssessmentHospitals
20204/20/2020prn200420aClaim Coding Clarification and Group Therapy for Community Mental Health Centers, Behavioral Health Clinics, and Substance Use Prevention and Recovery (SUPR) Providers  Community Mental Health Providers; Department of Alcohol and Substance Abuse Provider
20204/14/2020prn200414aCase Management – Mental Health – COVID-19 GuidanceCommunity Mental Health Providers
20204/14/2020prn200414bCoronavirus Aid, Relief, and Economic Security (CARES) Act for Long Term Care Residents and Pandemic Unemployment Compensation Long Term Care; Supportive Living
20204/10/2020prn200410aDisproportionate Share Hospital Adjustment Payments, Medicaid Percentage Adjustment Payments, and County Trauma Center Adjustment Payments.  Hospitals
20204/10/2020prn200410bFamily Support Program – COVID-19 GuidanceCommunity Mental Health Providers
20204/9/2020prn200409aLocal Education Agency Payment Error Rate Measurement (PERM) Audit Findings Local Education Agencies; School Based Health Services
20204/8/2020prn200408aMFTD Waiver Rate Increase for Hourly In-Home Shift Nursing for Participants 21 Years of Age or Older Home Health Agencies
20204/8/2020prn200408bTemporary Transportation Prior Approval Requirement Changes due to COVID-19Transportation Providers
20204/8/2020prn200408cCOVID-19 Emergency-Related Delays in Spectacle FabricationOptometrists; Physicians
20204/8/2020prn200408dFederally Qualified Health Center (FQHC) Short Term Advance Payments under the Medicaid Managed Care ProgramFederally Qualified Health Centers
20204/7/2020prn200407aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20204/7/2020prn200407b Applying for Medicaid and other Medical Programs During the COVID-19 EmergencyAll 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
20204/6/2020prn200406aTemporary Prior Authorization Requirement Changes Related to COVID-19 Public Health EmergencyAll 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
20204/2/2020prn200402aAdvance Payment Recoupments – Additional 3 Month Extension to July 15, 2020Long Term Care; Supportive Living
20204/2/2020prn200402bPromoting Interoperability Program Attestation ExtensionDentists; Federally Qualified Health Centers; Hospitals; Nurses; Optometrists; Physicians; Rural Health Clinics
20203/30/2020prn200330aPharmacy - Temporary COVID-19 Billing Policies Pharmacies
20203/30/2020prn200330bReminder Second Notice: New HFS Provider Resolution Process and Portal effective 02/28/2020All 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
20203/30/2020prn200330cTemporary Rate Increase during COVID-19 Pandemic and Day Services BillingLong Term Care
20203/30/2020prn200330d Telehealth Expansion Billing Instructions 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; 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
20203/26/2020prn200326aRequirements for Reporting Transportation Mileage on Electronic Claim SubmissionsTransportation Providers
20203/23/2020prn200323aSASS Youth Psychiatric Hospitalization – COVID-19 GuidanceHospitals
20203/23/2020prn200323bExtension in Due Date for Payment of the March 2020 Hospital AssessmentHospitals
20203/20/2020prn200320aTemporary PASRR and DON Screening Changes during COVID-19 PandemicLong Term Care; Supportive Living
20203/20/2020prn200320bTelehealth Services Expansion Prompted by COVID-19All Medical Assistance 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; All Kids Application Agents Instructions & Alerts; Ambulatory Surgical Treatment Centers; Audiologists; Chiropractors; Community Mental Health Providers
20203/20/2020prn200320cProvider Enrollment, Billing, and Payment Changes Prompted by 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; 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
20203/18/2020prn200318aUrgent Webinar - COVID-19 and SASS Youth Psychiatric HospitalizationHospitals
20203/17/2020prn200317a2019 Long Term Care (LTC) Cost Report Due Date/Cut-Off Date Long Term Care
20203/17/2020prn200317bMobile Crisis Response Services – COVID-19 GuidanceCommunity Mental Health Providers
20203/16/2020prn200316aIMPACT Enrollment Reminder Transportation Providers
20203/16/2020prn200316bSafety Training Certification ProgramsAll 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
20203/16/2020prn200316cCoronavirus and Expanded Care Options 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; 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
20203/13/2020prn200313aCOVID-19 Testing Coverage and Information SourcesAll 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
20203/11/2020prn200311aImplementation of New Policy for Systematic Processing of Facility to Facility Transfer Long Term Care Admissions and Additional MEDI EditsLong Term Care; Supportive Living
20203/10/2020prn200310a Hospital Cost Report Forms and InstructionsHospitals
20203/9/2020prn200309aIntegrated Health Homes Town Hall MeetingsAll 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
20203/3/2020prn200303aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20203/3/2020prn200303bICF/IID and MC/DD 3.5% Rate Increase Effective August 1, 2019Long Term Care
20202/27/2020prn200227aImplementation of New Policy for Long Term Care Admission ProcessingLong Term Care; Supportive Living
20202/26/2020prn200226aSecond Notice: New HFS Provider Resolution Process and Portal effective 02/28/2020All 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
20202/26/2020prn200226bOpioid Treatment Programs Medicare Coverage Effective January 1, 2020All 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
20202/21/2020prn200221aFirst Notice: New HFS Provider Resolution Process and Portal Effective 02/28/2020All 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
20202/21/2020prn200221bClarification Regarding Psychiatric Add-On PaymentNurses; Physicians
20202/14/2020prn200214aClient Eligibility for Temporary Medical CardsAll 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
20202/14/2020prn200214bABE Partner Portal – Instructions for Creating Accounts and Uploading DocumentsLong Term Care; Supportive Living
20202/14/2020prn200214cRequest for Primary Agency Security Administrator (ASA) Approval to Access the ABE Partner PortalLong Term Care; Supportive Living
20202/14/2020prn200214dNursing Facility Rate Changes Affecting Hospice Patient Room and Board PaymentHospice
20202/13/2020prn200213aDate Change for Hospitals to Receive Directed Payments from the MCOs and Verification of Bank InformationHospitals
20202/11/2020prn200211aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20202/5/2020prn200205aRate Increase for Home Health ServicesHome Health Agencies
20201/30/2020prn200130aChange to Managed Care Organization (MCO) Hospital Access ProgramHospitals
20201/28/2020prn200128aRetroactive Enrollment Date to be DiscontinuedAll 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
20201/27/2020prn200127a2020 Current Dental Terminology (CDT) Code Updates  Dentists
20201/24/2020prn200124aIntegrated Health Homes Town Hall MeetingsAll 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
20201/23/2020prn200123aWaiver Amendment Approval Effective January 1, 2020Supportive Living
20201/22/2020prn200122aClarification Regarding Mobile Crisis Response (MCR) Procedure Code S9484 Claim Adjustments Community Mental Health Providers
20201/21/2020prn200121aRequest for Primary Agency Security Administrator ApprovalAll Kids Application Agents Instructions & Alerts; Hospitals
20201/17/2020prn200117aExtension in Due Date for Payment of the January 2020 Hospital AssessmentHospitals
20201/13/2020prn200113aAdvance Payment Recoupments – 3 Month Extension to April 15, 2020Long Term Care; Supportive Living
20201/10/2020prn200110aPrevention of Spousal Impoverishment Standards for 2020Long Term Care; Supportive Living
20201/10/2020prn200110bUtilization Review UpdateHospitals
20201/10/2020prn200110cNew Utilization Review Process for Medical Assistance No Grant (MANG) Pended PatientsHospitals
20201/9/2020prn200109aGender-affirming 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
20201/8/2020prn200108aManaged Care Organization Grandfathering Clause for Certain DrugsAll 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
20201/8/2020prn200108cCost of Living Adjustment (COLA) File Download through the Medical Electronic Data Interchange (MEDI) SystemLong Term Care; Supportive Living
20201/8/2020prn200108dSpecial Needs Children Continuity of Care Beyond Transition to Managed Care February 1, 2020 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; 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
20201/8/2020prn200108eLTC Monthly Occupied Bed Provider Assessment Long Term Care
20201/7/2020prn200107aPsychiatric Add-on Payments Retroactive to Dates of Service Beginning July 1, 2019Physicians
20201/3/2020prn200103aGender-affirming 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
201912/27/2019prn191227aSupportive Living Program Room and Board Amounts for 2020Supportive Living
201912/20/2019prn191220aNursing Facility Rates Effective July 1, 2019Long Term Care; Supportive Living
201912/20/2019prn191220bExtension in Due Date for Payment of the December 2019 Hospital AssessmentHospitals
201912/19/2019prn191219aJanuary 1, 2020 Requirements for Ordering/Referring/Prescribing Provider Enrollment and Managed Care Plan Adoption of HFS Preferred Drug ListAll 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
201912/17/2019prn191217aMobile Crisis Response (MCR) Procedure Code S9484 Claim Adjustments Community Mental Health Providers
201912/17/2019prn191217bCritical Access Pharmacy (CAP) Program Professional Dispensing FeePharmacies
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