Provider Notice issued 10/18/02

Handbook for Providers of Transportation Services Update

No.: T200-02-1

The purpose of this bulletin is to provide updated pages for the Handbook for Providers of Transportation Services.

The following summarizes the changes being made to the handbook that affect all transportation providers.

• T-201.1 – Deletion of vehicle license types.

• New T-202.5 – Directs providers to the Department's website for a list of allowable procedure codes by provider type. This topic also refers the provider to the Provider Information Sheet for rate information.

• T-204 - Clarification of policy when a participant is a hospital inpatient and transportation is required to another facility for outpatient services that cannot be provided at the hospital of origin. Clarification on policy relating to reimbursement for transportation services for any service not covered by Department's Medical Programs.

• T-211 - Clarification of services or participants that are exempt from the prior approval process.

• T-211.1 - The 60-day time limit applied to prior approvals for on-going medical trips to the same source of medical care has been expanded up to 6 months, subject to prior approval by the Department's authorized prior approval agent.

• Appendix T-3 - Correction of payee information. Appendix T-3a, Appendix T-3b and Appendix T-3c have been deleted.

The following changes apply only to transportation providers serving Cook, Adams, Brown, Bureau, Calhoun, Cass, Champaign, Christian, Clark, Coles, Cumberland, Dewitt, Douglas, Edgar, Effingham, Ford, Fulton, Greene, Hancock, Henderson, Henry, Iroquois, Jersey, Knox, Lasalle, Livingston, Logan, Macon, Macoupin, Marshall, Mason, McDonough, McLean, Menard, Mercer, Montogmery, Morgan, Moultrie, Peoria, Piatt, Pike, Putnam, Rock Island, Sangamon, Schuyler, Scott, Shelby,Stark, Tazewell, Vermilion, Warren, and Woodford, counties. These are the only areas where the Department's Non-Emergency Transportation Prior Approval Program (NETSPAP) is currently in place.

• T-211.1 - The Department's NETSPAP authorized agent has changed its name from Dyncorp Management Resources, Inc. to DynTek Services, Inc. (DynTek). The address and telephone numbers for DynTek remain the same.

• New T-211.3 – Adds language on form DPA 3076F, Notice of Approval for Transportation Services.

Replacement pages for the Handbook for Providers of Transportation Services are available on the Department's website at http://www.dpaillinois.com/releases/

Printed copies are available upon written request to the Department. To ensure delivery, you must specify a physical street address when making a request for a paper copy. Submit your written request by mail or fax to:

Illinois Department of Public Aid

Provider Participation Unit

Post Office Box 19114

Springfield, Illinois 62794-9114

Fax Number: 217-557-8800

E-mail address is hfs.webmaster@illinois.gov

If you have any questions regarding this bulletin, please contact the Bureau of Comprehensive Health Services at 217-782-5565.

Instructions For Updating The Handbook For Transportation Services:

Remove pages T-200(i)/T-200(ii), T-201(1)/T-201(2), T-202(3)/T-202(4), T-202(5)/T202(6), T- 204(1)/T-204(2), T-211(1)/T-211(2), T-211(3)/T-211(4) and remove Appendices T-3a, T-3b, T3c and T-4, dated October 2001, and insert the replacement pages dated October 2002. The affected paragraphs are designated by "=" signs in the left-hand margin.

Handbook for Providers of Transportation Services are available on the Department's website at http://www.dpaillinois.com/handbooks/