Date: July 17, 2020
To: Community Mental Health Centers and Behavioral Health Clinics
Re: Mobile Crisis Response (MCR) Procedure Code S9484 Claim Adjustments Extension
This notice extends the timeframe for providers to resubmit claims via MEDI or 837P electronic transactions for procedure code S9484. This notice does not pertain to claim submissions to HealthChoice Illinois managed care plans.
By informational notice dated January 22, 2020, the Department informed providers that they could submit replacement claims via MEDI or 837P electronic transactions for procedure code S9484 retroactive to dates of service beginning August 1, 2018, if their claims for S9484 had not paid at the accurate rate. The timely filing limit has now been extended through October 1, 2020.
Providers are reminded that they have 12 months from the original paid voucher date to submit a replacement claim with Claim Frequency Digit “7”. Due to the age of the affected claims, this option may not be available. In that case, providers must submit a void for the original claim using Claim Frequency Digit “8”, and then submit a new claim with Claim Frequency Digit “1” once the voided claim has processed.
Questions regarding this notice may be directed to a community mental health billing consultant in the Bureau of Professional and Ancillary services at 877-782-5565, option sequence 1, 2, 4, then 8.
Interim Medicaid Administrator