The Illinois Department of Healthcare and Family Services (HFS) is a key resource for important provider notices and policies. Updates from IHA policy experts will also be posted here.
Between September and mid-November 2019, HFS issued several notices that may impact hospitals. IHA sent memos to members concerning some of these notices.
The Illinois Dept. of HFS informed IHA that implementation of the Ordering/Referring/Prescribing (ORP) requirement has been delayed to Jan. 1, 2020.
HFS posted a new provider notice regarding Federal Fiscal Year 2020 Safety Net Determination.
On Sept. 23, 2019, HFS released two notices: 1) Attending Provider NPI Requirements Delay to November 1, 2019; and 2) Ordering/Referring/Prescribing Provider Enrollment and Provider Directory.
HFS posted the Rate Year 2020 DSH, MPA and MHVA determination and rates on its website. HFS will not mail these notification letters. Please review your calculations in detail.
The Report of Birth functionality in the Application for Benefits Eligibility Partner Portal is now live. The HFS notice includes frequently asked questions.
HFS has issued several notices that may impact hospitals. IHA has sent memos to members concerning some of these notices.
Hospitals are urged to review their policies and procedures to assure that they are complying with the updated Physician Certification Statement.
To further reduce the backlog of hard copy claims, the Hospital Billing and Payment Support Unit will only take telephone inquiries Tuesdays and Thursdays from 8:30 to 4.
HFS has posted a notice indicating that it has mailed each hospital the facility’s inpatient and outpatient assessment remittance notices for FY2020.
This document outlines specific Medicaid payments that are contingent on providing inpatient obstetrical services.
The Illinois Dept. of Healthcare and Family Services released notices on numerous issues, including ABE, NPI requirements, APR-DRG and EAPG, and MMAI.
The Illinois Dept. of Healthcare and Family Services (HFS) has informed IHA that it will delay until October 1, 2019 implementation of the ordering, referring, prescribing (ORP) requirement.
The Illinois Dept. of Healthcare and Family Services announced it will use Grouper Version 3.13 of the Enhanced Ambulatory Patient Groups (EAPG) payment system.
The Dept. of Healthcare and Family Services has posted rate year 2020 determinations for DSH, MPA and CTCA payments in a notice on its website.
The Illinois Dept. of Healthcare and Family Services released notices on numerous issues, including Integrated Health Homes, NPI requirements and non-emergency ambulance transfers.
The Illinois Dept. of Healthcare and Family Services released notices on a Hospital Assessment payment extension, FFY2019 DSH and Safety Net determinations and other issues from Aug-Oct.
The Illinois Dept. of Healthcare and Family Services released notices on assessments, reimbursement systems, laboratory services and a standardized "provider roster" from May through early August.
The Illinois Department of Healthcare and Family Services has posted a new provider notice regarding Updated Pricing Calculators, related to the redesigned Hospital Assessment Program.
HFS has informed IHA that the state has also received approval from CMS to pay the Fee-for-Service ACA payments.
HFS notice regarding changes applicable to fee-for-service payments effective with dates of service on and after July 1, 2018.
HFS has clarified a new requirement for hospitals to report Modifier 90 on certain outpatient claims for reference laboratory service.
HFS notices and notifications released in March and April.