Skip to main content
  • Medicaid Provider Alert: Provider revalidation has begun and those not completing the process risk disenrollment.  Check your account now to learn when your revalidation is due. More information here.
Elizabeth M. Whitehorn, Director

Provider Notice issued 01/13/06

Updates to the Ambulatory Procedures Listing (APL) and Expensive Drugs and Devices Listing for January 1, 2006

To:​ Enrolled Hospitals: Chief Executive Officers, Chief Financial Officers, and Patient Accounts Managers; and Ambulatory Surgical Treatment Centers (ASTCs)​
Date:​ January 13, 2006​
Re:​

Updates to the Ambulatory Procedures Listing (APL) and Expensive Drugs and Devices Listing for January 1, 2006 ​

The revised APL, effective for dates of service on or after January 1, 2006, is available on the department’s Web site at: <http://www.hfs.illinois.gov/reimbursement/apl.html>.

 

The APL is sorted in both procedure code order and APL group order. The list has been revised to reflect updated CPT and HCPCS coding. Codes that have been defined as obsolete via the CPT or HCPCS coding systems have been removed. The APL is available in two formats, a printable report or a text-delimited file. Paper copies of the APL may be obtained by contacting the Bureau of Comprehensive Health Services at 877-782-5565.

 

APL group rates have been restored to the levels that were in place prior to July 1, 2004. Any claims for series-billable services spanning January 1, 2006, should be split to ensure correct pricing.

 

The Expensive Drugs and Devices Listing is available on the department’s Web site at: <http://www.hfs.illinois.gov/reimbursement/expensive.html>. This list has also been revised to reflect updated CPT and HCPCS coding.

 

Providers wishing to receive E-mail notification, when new provider information has been posted by the department, may register at the following HFS Web site: http://www.hfs.illinois.gov/provrel/

 

Electronic claim submission via the Internet is available by registering on the department’s Medical Electronic Data Interchange, Internet Electronic Claims (MEDI/IEC) System at: http://www.myhfs.illinois.gov/

 

Any questions regarding this notice may be directed to the Bureau of Comprehensive Health Services at 877-782-5565.

 

Anne Marie Murphy, Ph.D.

Administrator

Division of Medical Programs