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Elizabeth M. Whitehorn, Director
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Monthly Claims Care Coordination Data (CCCD) Partner Meeting April 2014
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Monthly Claims Care Coordination Data (CCCD) Partner Meeting March 2014
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April 11, 2012 Care Coordination Stakeholder Videoconference
MMAI Stakeholders Webinar April 18, 2013
Extending the Proposal Due Date to Friday, June 15, 2012
Two Updates in Relation to the Capitated Model of the Medicare-Medicaid Financial Alignment Initiative
August 14, 2012, Care Coordination Stakeholder Videoconference
November 15, 2011, Meeting Notice
Comment letters received on Proposed 1115 Waiver Demonstration Project
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Expensive Drugs and Devices Listing for Hospitals and ASTCs
Expensive Drugs and Devices for Hospitals and ASTCs
Expensive Drugs and Devices for Hospitals and ASTCs
Expensive Drugs and Devices for Hospitals and ASTCs
Expensive Drugs and Devices for Hospitals and ASTCs
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Expensive Drugs and Devices for Hospitals and ASTCs
Home Health Fee Schedule
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2008 Fee Schedule
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FY2024HospitalRateSheets
Hospital Rate Sheets Effective July 1, 2022
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Hospital Rate Sheets Effective July 1, 2021
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Hospital Rate Sheets Effective January 1, 2018
Hospital Rate Sheets Effective January 1, 2017
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RY 2020 DSH MPA MHVA Determination
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DSH - MPA - MHVA Determination Archive
Directed Payment and Passthrough Reports
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DirectedPaymentCalculations0401202306302023
Directed Payment Calculations 01/01/2021 - 03/31/2021
Directed Payment Calculations 10/01/2022 Through 12/31/2022
Directed Payment Calculations 10/01/2021 - 12/31/2021
Directed Payment Calculations 01/01/2022 - 03/31/2022
Directed Payment Calculations 04/01/2021 - 06/30/2021
Directed Payment Calculations 04/01/2022 Through 06/30/2022
Directed Payment Calculations 07/01/2020 - 09/30/2020
Directed Payment Calculations 01/01/2023 Through 03/31/2023
Directed Payment Calculations 10/01/2020 – 12/31/2020
Directed Payment Calculations 07/01/2021 - 09/30/2021
Directed Payment Calculations 07/01/2022 Through 09/30/2022
Directed Payment Calculations 04/01/2024 – 06/30/2024
Directed Payment and Passthrough Calculations 070720224 - 09/30/2024
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Safety Net Determination Archive
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Critical Access Hospital Rate Sheets Effective July 1, 2017
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RY 2011 Critical Access Hospital Rate Adjustment
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Semi Annual Rate Maintenance Review
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Non-Institutional Providers
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Provider Blood Lead Screening Report
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PACE
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Drugs and Therapeutics Advisory Board Agenda Request
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Illinois Medical Assistance - Supplemental Rebate Offer Form
Opioid Pain Management Provider Continuing Education Resources
Optimizing Diabetes Management
PDL Background
Preferred Drug List Process
Tamper-Resistant Rx Pads
Tamper-Resistant Rx Pads
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 16, 2016
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 15, 2016
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 14, 2016
Archived D and T Advisory Board Meeting Agendas and Minutes
Tamper-Resistant Rx Pads
Pharmacy Manual Top Navigation
Medicaid Preferred Drug List
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 4, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results* for: March 4, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 9, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 9, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 14, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 14, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 19, 2014 (revised April 7, 2014)
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 18, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 18, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 19, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 20, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 20, 2013
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: March 24, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results for: March 24, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results* for: March 26, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: May 18, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: May 18, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 2, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results June 2, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results June 6, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for June 11, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 17, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results June 17, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: June 19, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: June 19, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: June 25, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 14, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 14, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 15, 2010
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 15, 2010
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 16, 2015
Drugs and Therapeutics (D&T) Committee Meeting Results for: September 16, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 17, 2014
Drugs and Therapeutics (D & T) Committee September 17, 2014
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 18, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 18, 2013
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 23, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: September 24, 2008
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 24, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 2, 2009
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 2, 2009
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 3, 2008
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 03, 2008
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 4, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 4, 2013
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 8, 2010
Drugs and Therapeutics Committee Meeting Results Meeting Results for: December 12, 2007
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 14, 2011
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 14, 2011
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 16, 2015
Drugs and Therapeutics (D & T) Committee Drugs Under Review for: December 19, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: December 19, 2012
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 23, 2009
D and T Agenda 2015
D and T Meeting Results 2015
Drugs and Therapeutics (D&T) Committee Meeting Results for: June 10, 2015
D and T Agenda 2008
D and T Agenda 2009
D and T Agenda 2010
D and T Agenda 2011
D and T Agenda 2012
D and T Agenda 2013
D and T Agenda 2014
Drugs and Therapeutics (D&T) Committee Meeting Results for: June 15, 2016
Drugs and Therapeutics (D & T) Committee Meeting Results for: September 14, 2016
D and T Meeting Results 2007
D and T Meeting Results 2008
D and T Meeting Results 2009
D and T Meeting Results 2010
D and T Meeting Results 2011
D and T Meeting Results 2012
D and T Meeting Results 2013
D and T Meeting Results 2014
Migraine prophylaxis considerations An educational update for providers
Pediatric Specialty Beds Criteria
Drugs and Therapeutics (D&T) Committee Meeting Results for: March 16, 2016
Drugs and Therapeutics (D&T) Committee Meeting Results for: December 16, 2015
Resources for Managing Vitamin D Therapy
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Peer Review Organization (PRO) Quality Improvement Organization (QIO)
Provider Programs
Family Case Management
HBWD
The Healthy Kids Program
Healthy Kids Program Physician Access to Health Profiles
HFS Application Agents
Long Term Care
Managed Care Billing/Payment Issues
Maternal and Child Health Primary Care Provider Agreement
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Participation in Managed Care
PACE
Participant Eligibility Information
SBHS
Supportive Living Program
Vaccine For Children (VFC)
Recipient Eligibility Verification (REV)
Claims Processing System Issues
340B Dispensing Fee Add-On
Potential Overpayment of Transportation Claims
Adjustments were over-recouped.
Ambulance Rate Changes
SMART Act Ambulance Services
Ambulance Rate Changes Update – Second Batch
Claims for (SASS) were processed incorrectly.
Co-payment Deducted Twice for Reimbursement Amount
Copayments Were Being Applied Incorrectly
Copayments Being Taken on Services Rendered to Pregnant Women
D17 Quantity Billed Requires Prior Approval
DHS/DMH and SASS Claims Submitted
DME Oxygen Claims Overpaying
Duplicate Co-Pay Messages on Paper Remittance Advice
Error Code X11
Family Planning Copayments
Podiatric claims denying G51, Podiatric Service Inappropriate for Diagnosis
Claims Rejecting Incorrectly for G61
In-Home Nursing Services Home Health Claims on Hold
Liletta and Mirena Products Resolution
MEDI Affecting Medicare Crossovers
Non-Emergency Transportation Claims are Denying, X73 – Missing/Invalid Prior Approval
Non-Emergency Transportation Claims Suspended, D04, Pricing Problem
Overpayment of Transportation Claims
Paper Claims Rejecting Incorrectly
Expansion of Telehealth Services – Payment of the Q3014
340B Dispensing Fee Add-On for Provider Type 52
Erroneous Rejection of Originating Site Facility Fee (Q3014)
Rebilled Non-Emergency Transportation Claims Denying G55, 180 Day Timely Filing
Recoupment of Affordable Care Act (ACA) Primary Care Increased Payments
Rejecting in Error
SMART Act Ambulance Services
T4521 - Inappropriately Requiring Prior Approval
Manual Side System Issues
Billing Liletta and Mirena Products - J7302
Home Health Claims
Home Health Claims with Dates of Service on or After 7/1/14 Temporarily Held
ICG Claims for FY16
In-Home Shift Hourly Nursing Services
340B Federal Drug Pricing Program
Notice - OLD DO NOT USE
GEMTJetpay Demo
MTAC
About MTAC
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NonEmergencyTransportation
EVV Townhall Meetings
EVV Townhall Slides
June 18, 2024, EVV Townhall Slides (pdf)
EVV Townhall Q & A
Frequently Asked Questions
EVV Townhall Recordings
Recording of June 18, 2024, EVV Townhall
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