New PCS Form for Non-Emergency Ambulance Transfers in Effect Feb. 1

January 30, 2019


New PCS Form for Non-Emergency Ambulance Transfers Goes into Effect Feb. 1

This is a reminder that the updated Physician Certification Statement (PCS) form that a hospital must complete and provide to an ambulance provider prior to transport of a non-emergency patient must be implemented by Friday, Feb. 1, 2019. The new form developed by the Illinois Department of Healthcare and Family Services (HFS), with input from IHA, pursuant to Public Act 100-0646 can be accessed here. Detailed information about new requirements for hospitals can be found in an August, 2018 IHA memo.

The updated PCS requirements are in response to challenges that ambulance providers have had in receiving a correct or completed PCS from some hospitals. The PCS is an important document for ambulance providers, particularly when transporting Medicaid patients as many Medicaid Managed Care Organizations and HFS will deny the ambulance provider’s claim without a completed PCS.

If you have questions, please contact Lance Kovacs.