HFS Notices and Policies
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.
New Medicaid Add-on Payment: Emergency Dept. Opioid Treatment
HFS has issued a Provider Notice updating guidance on coverage and reimbursement for the initiation of medication for the treatment of MOUD in a hospital ED setting.
HFS-IHA Webinar on Recovery Audits
IHA hosted a joint webinar with the Dept. of Healthcare and Family Services, the Department’s Office of the Inspector General, and the OIG’s Recovery Audit Contractor, HMS Gainwell, on Nov. 1, 2023.
Hospital and Healthcare Transformation Update No. 5 Transformation Program App.
HFS has released a Provider Notice announcing the Healthcare Transformation Collaboratives Program that includes the Application for Funding Healthcare Transformation Collaboratives.
HFS Proposed Rules on Reimbursement for Days beyond Medical Necessity
This memo summarizes an HFS proposed rule on reimbursement to hospitals for stays beyond medical necessity and IHA’s concerns.
Hospital Professional Billing Transition to the Outpatient Institutional Billing
HFS: all hospital OP services billed on a professional claim and paid under the Practitioner Fee Schedule will be billed on an institutional claim and reimbursed at EAPG, effective July 1, 2020.
Payments Linked to or Requiring the Provision of OB Services
This document outlines specific Medicaid payments that are contingent on providing inpatient obstetrical services.