Provider Notice issued 06/27/03

Handbook for Providers of Medical Services Chapter 100 June 2003 Update

The Department has made several changes to the Handbook for Providers of Medical Services, Chapter 100-General Policy and Procedures.  This handbook update includes:

• Language regarding the Department’s programs on Health Benefits for Persons with Breast and Cervical Cancer and Health Benefits for Workers with Disabilities.
• Language regarding participant copayments
• Revised KidCare Card
• Error codes - adding 4 and deleting 1
• Updates in terminology to reflect current usage.

The replacement pages are also available on the Department’s website at: <http://wwwqa.illinois.gov/hfs/MedicalProviders/Handbooks/Pages/default.aspx>.  If you do not have access to the Internet, or need a paper copy, printed copies are available upon written request.  You need to specify a physical street address to ensure delivery.  Submit your written request 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

The revised pages are dated June 2003.  The affected items are designated by “=” signs to the left.  This Provider Bulletin lists the pages to be removed and replaced.

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

INSTRUCTIONS FOR UPDATING HANDBOOK

Table of Contents

Remove page 11/00 IDPA 100 (i) and insert new page June 2003 IDPA 100 (i)
Remove page 11/00 IDPA 100 (ii) and insert new page June 2003 IDPA 100 (ii)
Remove page 11/00 IDPA 100 (iii) and insert new page June 2003 IDPA 100 (iii)
Remove page 11/00 IDPA 100 (v) and insert new page June 2003 IDPA 100 (v)
Remove page 11/00 IDPA 100 (vi) and insert new page June 2003 IDPA 100 (vi)

Topic 100 DPA Medical Programs

Remove page August 2001 IDPA 100 (2) and insert new page June 2003 IDPA 100 (2)

Remove page 11/00 IDPA 100 (3) and insert new page June 2003 IDPA 100 (3)

Remove page 11/00 IDPA 100 (4) and insert new page June 2003 IDPA 100 (4)

Topic 101 Provider Participation

Remove page 11/00 IDPA 101 (1) and insert new page June 2003 IDPA 101 (1)

Remove page 11/00 IDPA 101 (2) and insert new page June 2003 IDPA 101 (2)

Remove page 11/00 IDPA 101 (3) and insert new page June 2003 IDPA 101 (3)

Topic 102 Patient Eligibility

Remove page 11/00 IDPA 102 (3) and insert new page June 2003 IDPA 102 (3)

Remove page 11/00 IDPA 102 (4) and insert new page June 2003 IDPA 102 (4)

Insert page June 2003 IDPA 102 (5)

Insert page June 2003 IDPA 102 (6)

Topic 103 Covered Services

Remove page 11/00 IDPA 103 (5) and insert new page June 2003 IDPA 103 (5)

Remove page 11/00 IDPA 103 (6) and insert new page June 2003 IDPA 103 (6)

Topic 108 Eligibility Cards

Remove page 11/00 IDPA 108 (3) and insert new page June 2003 IDPA 108 (3)

Remove page 11/00 IDPA 108 (4) and insert new page June 2003 IDPA 108 (4)

Remove page 11/00 IDPA 108 (9) and insert new page June 2003 IDPA 108 (9)

Remove page 11/00 IDPA 108 (10) and insert new page June 2003 IDPA 108 (10)

Topic 113 Spenddown

Remove page 11/00 IDPA 113 (1) and insert new page June 2003 IDPA 113 (1)

Remove page 11/00 IDPA 113 (2) and insert new page June 2003 IDPA 113 (2)

Topic 114.2 Co-payments for Medical Assistance Programs

Remove page 11/00 IDPA 114 (3) and insert new pages June 2003 IDPA 114 (3-6)

Topic 120 Other Payment Sources

Remove page 11/00 IDPA 120 (4) and insert new pages June 2003 IDPA 120 (4)

Topic 133 Refunds

Remove page 11/00 IDPA 133 (1) and insert new pages June 2003 IDPA 133 (1)

General Appendix 5 Error Code Explanations

Insert page June 2003 IDPA General Appendix 5 (A-1)
Insert page June 2003 IDPA General Appendix 5 (A-2)

Remove page 11/00 IDPA General Appendix 5 (C-1) and insert new page June 2003 IDPA General Appendix 5 (C-1)
Remove page 11/00 IDPA General Appendix 5 (C-2) and insert new page June 2003 IDPA General Appendix 5 (C-2)

Remove page 11/00 IDPA General Appendix 5 (P-3) and insert new page June 2003 IDPA General Appendix 5 (P-3)

Remove page 11/00 IDPA General Appendix 5 (R-5) and insert new page June 2003 IDPA General Appendix 5 (R-5)

Remove page 11/00 IDPA General Appendix 5 (T-3) and insert new page June 2003 IDPA General Appendix 5 (T-3)

General Appendix 6 Adjustments

Remove page 11/00 IDPA General Appendix 6 (9) and insert new page June 2003 IDPA General Appendix 6 (9)

General Appendix7 Explanation of Remittance Advice Information For UB-92 Billers

Remove page 11/00 IDPA General Appendix 7 (4) and insert new page June 2003 IDPA General Appendix 7 (4)

Remove page 11/00 IDPA General Appendix 7 (7) and insert new page June 2003 IDPA General Appendix 7 (7)

Remove page 11/00 IDPA General Appendix 7 (8) and insert new page June 2003 IDPA General Appendix 7 (8)

General Appendix 8 Explanation of Remittance Advice Information For Non-Institutional Provider (NIPS) And Pharmacy Billers
Remove page 11/00 IDPA General Appendix 8 (9) and insert new page June 2003 IDPA General Appendix 8 (9)
Remove page 11/00 IDPA General Appendix 8 (10) and insert new page June 2003 IDPA General Appendix 8 (10)

General Appendix 10 Provider Forms Request Instructions

Remove page August 2001 IDPA General Appendix 10 (1) and insert new page June 2003 IDPA General Appendix 10 (1)
Remove page August 2001 IDPA General Appendix 10 (2) and insert new page June 2003 IDPA General Appendix 10 (2)

General Appendix 13 Copayment Procedure Codes

Insert page June 2003 IDPA General Appendix 13 (1-2)