Agencies
Services
Provider Notice issued 12/17/04
Coverage Of Renal Dialysis Injectable Drugs
| To: | Enrolled Hospitals – Chief Executive Officers, Chief Financial Officers, and Patient Accounts Managers; and Renal Dialysis Facilities |
| Date: | December 17, 2004 |
| Re: | Coverage Of Renal Dialysis Injectable Drugs |
Effective with dates of service on and after March 1, 2004, the department will provide reimbursement for the HCPCS injectable drug code Q4054 - Injection, Aranesp, 1 mcg.
Additionally, in a Provider Bulletin dated October 6, 2003, the department notified providers of new renal dialysis drug coverage and rate information. One new injectable drug code was inadvertently omitted from that bulletin. Effective with dates of service on and after January 1, 2003, the department will provide reimbursement for the HCPCS injectable drug code J1756 - Injection, Iron Sucrose, (Venofer) 1 mg.
The current injectable drug codes are identified in the attached update to the Hospital Handbook. The Physician Fee Schedule on the department’s Web site also contains these codes and identifies their rates. Hospitals and renal dialysis facilities need to verify rate information for the injectable drugs from the fee schedule. The Physician Fee Schedule is located at <http://www.dpaillinois.com/reimbursement/>.
This bulletin and replacement page for the Handbook for Hospitals referencing the drug coverage changes are available on the department's Web site at <http://www.dpaillinois.com/hospitals/>. Changes to the replacement handbook page are acknowledged by an "=" to the left of the affected text. Please note that the Handbook for Hospitals is not currently available on the Web site.
Paper copies of the replacement page, as well as an entire handbook, may be obtained by written request. To ensure delivery, you must specify a physical street address when requesting a paper copy. You may submit your written request to the address below, or fax or e-mail it as noted:
Illinois Department of Public Aid
Provider Participation Unit
Post Office Box 19114
Springfield, Illinois 62794-9114
Fax Number: 217-557-8800
E-Mail Address: PPU@idpa.state.il.us
To reduce copying and mailing cost, the department may not always include hardcopies of attachments referenced in notices and bulletins. Web site links will be identified so providers may view and print the material from the Internet. Providers wishing to receive e-mail notification, when new provider information has been posted by the department, may register at the following IDPA Web site
http://www.dpaillinois.com/provrel/.
Instructions for updating the Handbook for Hospitals:
Replace page one of Appendix H-18 dated September 2003 with the attached revised page one dated December 2004. Providers may wish to retain the September 2003 page as a reference.