Proposed Changes In Methods And Standards

State of Illinois
Healthcare and Family Services

Proposed Changes In Methods And Standards For Establishing Medical Assistance Payment Rates for Transportation Services

The Department of Healthcare and Family Services (HFS) proposes to change the methods and standards by which certain non-emergency transportation services are reimbursed under the Illinois Medical Assistance program. These changes are being made in order to assure that reimbursement for services rendered by these classes of providers are consistent with the State’s fiscal year 2007 budget while maintaining access to necessary medical services. These changes will be e ffective with dates of service on or after July 1, 2006.

The department will begin paying mileage for medicars and service cars beginning with the first loaded mile.

Service cars and taxicabs will be eligible to receive additional reimbursement for employee attendants.

The base and return trip rates for Madison and St. Clair county providers will be changed to $14.85 for both medicars and service cars. (The base rates for all other counties will remain the same.)

The rate paid for transportation to and from adult day services will increase to $8.30 per one-way trip (the current rate is $4.15). These services are reimbursed through the Department on Aging and the Department of Human Services.

It is estimated that these changes will result in an annual increase in Medicaid liability of $5.2 million.

Time, place and manner in which interested persons may comment on the proposed changes:

Any interested party may submit comments, data, views, or arguments concerning these proposed. All comments must be in writing and should be addressed to:

Bureau of Program and Reimbursement Analysis

Division of Medical Programs

Healthcare and Family Services

201 South Grand Avenue East

Springfield, Illinois 62763-0001

E-mail address: bpra@illinois.gov

Interested persons may review these proposed changes on the Internet at HFS Public Notices. Local access to the Internet is available through any local public library. In addition, this material may be viewed at the local offices (except in Cook County) operated by the Department of Human Services. In Cook County, the changes may be reviewed at the Office of the Director, Healthcare and Family Services, 100 West Randolph Street, Chicago, Illinois. The changes may be reviewed at all offices Monday through Friday from 8:30 a.m. until 5 p.m. This notice is being provided in accordance with federal requirements found at 42 CFR 447.205.

County CAPS for Ambulance Providers (pdf)


Public Notices

 

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