Policy Update
Comprehensive Billing Guide for Medical Assistance Program Providers-Updated!
Check out the updates, including to transportation services, to the Comprehensive Billing Guide for Medical Assistance Program providers. To review the Provider Notice, click here.
The Illinois Medicaid Managed Care Organizations (MCOs), in collaboration with the Illinois Association of Medicaid Health Plans (IAMHP), have developed a Comprehensive Billing Guide for Medical Assistance Program providers. This billing guide is designed to help providers who are contracted with the MCOs understand the general MCO billing requirements. MCOs have different policies and procedures related to billing. With this manual, the MCOs have created a single source of information for all claims regardless of provider type. To review the current Billing Guide, click here.
Preadmission Screen Resource Guide
HFS developed the Preadmission Screen Resource Guide for the new preadmission processes and use of AssessmentPro (AP) that went into effect in April for potential SLP residents. HFS is continuing to reach out to individual providers to assist with implementation and answer questions. If you are encountering any issues, please do not hesitate to reach out to the SLP Coordinator in the HFS Bureau of Long Term Care Kara Helton at Kara.helton@illinois.gov. To avoid confusion, this is a reminder that we should be adopting the terminology for the screens and screening result forms that is identified throughout the document and noted below. To view the Guide, click here.
Hint! Use these terms:
- Determination of Need (DON)
- HFS 2536 Interagency Screening Results form
- SLP Initial Screen
- SLP Comprehensive Assessment
Do NOT use these terms:
- PASRR
- PAS
- OBRA
- DON (to mean the entire prescreening process)
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