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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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
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
20187/27/2018prn180727aFiscal Year 2019 Hospital Inpatient and Outpatient Assessment Programs Notice of AssessmentsHospitals
20187/26/2018prn180726aNotice of Informational Webinars on Provisional Eligibility – Implementation ProcessLong Term Care; Supportive Living
20187/24/2018prn180724aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20187/20/2018prn180720bChapter L-200, Handbook for Providers of Laboratory Services Correction Regarding Global Laboratory Billing in the Hospital Outpatient Setting and Hospital Use of Modifier “90” for Reference Laboratory ServicesHospitals; Laboratory; Physicians
20187/19/2018prn180719aCPT Code 99070Nurses; Physicians; Podiatrists
20187/12/2018prn180712aCMHC Rate Add On and Fee ScheduleCommunity Mental Health Providers
20187/12/2018prn180712bBHC Provider Notice and New Fee ScheduleAll Medical Assistance Providers
20187/11/2018prn180711aUpdate to Community Mental Health Service ArrayCommunity Mental Health Providers
20186/29/2018prn180629aChanges to Hospital Inpatient and Outpatient Reimbursement Systems Effective with Dates of Service on and after July 1, 2018Hospitals
20186/29/2018prn180629bDD Wage IncreaseLong Term Care; Waiver
20186/28/2018prn180628aJune 2018 Final Reconciliation ACA Assessment Adjustment Hospitals
20186/27/2018prn180627aRate Increase for Ambulance Providers  Transportation Providers
20186/27/2018prn180627bAdult Dental Services  Dentists
20186/26/2018prn180626aLTC  Monthly Occupied Bed Provider AssessmentLong Term Care
20186/22/2018prn180622aSpecialized Mental Health Rehabilitation Facilities (SMHRFs) Reimbursement Rate Increase Effective July 1, 2018Long Term Care
20186/21/2018prn180621aNew Medical Electronic Data Interchange (MEDI) Institutional Invoice Field for Service Line “Thru” DateHome Health Agencies
20186/21/2018prn180621bVaccines for Children (VFC) program - Private Stock Vaccines (Title XXI) Funding Extended Through June 30, 2019 for Title XXI and State-funded EnrolleesAll Medical Assistance Providers
20186/14/2018prn180614aReporting Resident Discharges or Death through MEDI Long Term Care; Supportive Living
20186/14/2018prn180614bFee For Service (FFS) Hospital Access Payment Adjustment Hospitals
20186/13/2018prn180613aTherapeutic Leaves of AbsenceLong Term Care
20186/13/2018prn180613bAddition of Current Dental Terminology (CDT) D1354 - Interim Caries Arresting Medicament ApplicationDentists
20186/13/2018prn180613cUpdated Timelines for Reporting Admissions and Resident Status ChangesLong Term Care; Supportive Living
20185/25/2018prn180525aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20185/22/2018prn180522a2018 Long Term Care (LTC) Cost Report Forms and Instructions Long Term Care
20185/21/2018prn180521aPolicy for Billing Multiple Visits and Procedures on the Same DayLocal Health Departments; Physicians; School Based Health Services; Nurses
20185/15/2018prn180515aExtension in Due Date for Payment of the May 2018 Hospital AssessmentHospitals
20185/15/2018prn180515bAutomated Adjustment Process for the Long Term Care Direct Billing SystemLong Term Care; Supportive Living
20185/10/2018prn180510aMedicare-Medicaid Alignment Initiative (MMAI) Simplified Credentialing All Medical Assistance Providers
20185/9/2018prn180509aHealthChoice Illinois – Special Needs Children Implementation Schedule UpdateAll Medical Assistance Providers
20185/7/2018prn180507aClarification Regarding Use of Modifier 90 [Reference (Outside) Laboratory] for Hospital Outpatient Claims Billed on the 837P or HFS 2360 Claim FormatsHospitals; Laboratory
20185/7/2018prn180507bMEDI Enhancements and Instructions for Medicare-Only Admission TransactionsLong Term Care; Supportive Living
20185/4/2018prn180504aRate Year 2019 Determination for Disproportionate Share, Medicaid Percentage Adjustment, and County Trauma Center Adjustment PaymentsHospitals
20184/25/2018prn180425aIllinois Medicaid Program Advanced Cloud Technology (IMPACT) - Provider Daily Office Hours, Modifications and Licensure Renewal Information All Medical Assistance Providers
20184/25/2018prn180425bNew Prior Approval Requirements for Wheelchair ProvidersDurable Medical Equipment Suppliers
20184/24/2018prn180424aLTC Monthly Occupied Bed Provider AssessmentLong Term Care
20184/13/2018prn180413aContinuity of Care Requirements for HealthChoice Illinois Managed Care Health PlansAll Medical Assistance Providers
20184/4/2018prn20180404aHospital Cost Report Forms and InstructionsHospitals
20183/29/2018prn180329aLTC Assessment Due Date Notice - April 2018Long Term Care
20183/29/2018prn180329bElectronic Health Records (EHR) Incentive Program Attestation Extension Dentists; Nurses; Optometrists; Physicians
20183/29/2018prn180329cHealthChoice IL Expansion - Schedule UpdateAll Medical Assistance Providers
20183/28/2018prn180328aAlert: Managed Care Expansion Will NOT Be Delayed; Statewide Transition Continuing to Take Place April 1, 2018All Kids Application Agents Instructions & Alerts; All Medical Assistance Providers; 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
20183/26/2018prn180326aSBHS FY16 Calculated RatesSchool Based Health Services
20183/13/2018prn180313bIncorrect Cost Of Living Allowance (COLA) Report Effective January 1, 2018Long Term Care; Supportive Living
20183/8/2018prn030818aSubmittal of Medicaid Eligibility Redetermination FormLong Term Care; Supportive Living
20182/28/2018prn180228aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20182/22/2018prn180222aWilliams Consent Decree Requirement Regarding Access to ResidentsLong Term Care
20182/15/2018prn180215aPayment Error Rate Measurement (PERM) AuditAll Medical Assistance Providers
20182/13/2018prn180213aUse of Modifier 90 - March 1, 2018Hospitals; Laboratory
20181/30/2018prn180130aLTC Monthly Occupied Bed Provider Assessment Long Term Care
20181/10/2018prn180110aHomemaker Service and Enhanced Reimbursement Rate Increase and Methodology Change Effective August 1, 2017Waiver
20181/10/2018prn180110bChanges to Professional Claims for Telehealth Services All Medical Assistance Providers
20181/3/2018prn180103aPsychiatric Services Provided Within Community Mental Health Centers (CMHCs) Extended Through June 30, 2018Physicians; Nurses; Community Mental Health Providers
20181/2/2018prn180102aLTC Monthly Occupied Bed Provider Assessment Long Term Care
201712/29/2017prn171229aExpansion of Abortion Reimbursement Effective January 1, 2018Hospitals; Physicians; Nurses
201712/22/2017prn171222aHFS Urges Providers to Sign HealthChoice Illinois Contracts Now Long Term Care; Supportive Living
201712/22/2017prn171222bUpdates to Hospital Reimbursement Components Effective January 1, 2018Hospitals
201712/19/2017prn171219Reporting an Admission to Long Term Care Facilities and Supportive Living Program Participants with Current Medicaid Eligibility in the CommunityLong Term Care; Supportive Living
201712/15/2017prn171215a​ALERT: Providers Contracting with HealthChoice Illinios PlansAll 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
201712/8/2017prn171208dManaged Care Programs for Full Dual Eligible Beneficiaries in 2018All Medical Assistance Providers
201712/8/2017prn171208ePOS Version D.0. Payor Sheet UpdatePharmacies; Physicians; Dentists; Podiatrists; Optometrists; Hospitals; Nurses
201712/8/2017prn171208gThe Medical Electronic Data Interchange (MEDI) System - Dual Eligible Beneficiaries Enrolled in Medicaid Managed Long Term Services and Supports (MLTSS) and MedicareAll Medical Assistance Providers
201712/4/2017prn120417aRoom and Board Amounts for 2018Supportive Living
201711/30/2017prn171130aLTC Monthly Occupied Bed Provider Assessment Long Term Care
201711/30/2017prn171130bPrevention of Spousal Impoverishment Standards for 2018Long Term Care; Supportive Living
201711/8/2017prn181108aIllinois Health Connect Plan ClosureAll Kids Application Agents Instructions & Alerts; All Medical Assistance Providers; 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
201711/6/2017prn171106aNotice of N.B. v. Norwood Proposed Class Action Consent Decree and Fairness HearingCommunity Mental Health Providers; Department of Alcohol and Substance Abuse Provider; Early Intervention Services; Federally Qualified Health Centers; Hospitals; Local Health Departments; Long Term Care; Physicians; Rural Health Clinics; School Based Health Services; School Based/Linked Health Center Services; Waiver
201711/3/2017prn171103aSucceeding in the New Managed Care Program Series (#5): How you can help your patients understand what they need to know about this transitionAll Medical Assistance Providers
201711/2/2017prn171102aPBMS Update - Accessing the Illinois Provider PortalDentists; Hospitals; Nurses; Optometrists; Pharmacies; Physicians; Podiatrists
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