Agencies
Services
Provider Notice issued 08/31/2009
Psychiatric Services
| To: | Participating Advanced Practice Nurses (APNs) |
| Date: | August 31, 2009 |
| Re: | Psychiatric Services |
As a result of a recent administrative rule change, effective with dates of service on or after, October 1, 2009, the department will cover psychiatric services, CPT Code Range 90801 through 90899, excluding Group Psychotherapy, when rendered by Advanced Practice Nurses (APNs). The APN must have and maintain a current collaborative or written practice agreement with a collaborating physician or practitioner under whom the APN will be practicing, as set forth in the Nurse Practice Act. The APN must also hold a current certification in Psychiatric and Mental Health Nursing as set forth in 68 Ill. Adm. Code 1305, Appendix A. This certification and the HFS 3411C must be submitted to the department’s Provider Participation Unit and should be mailed to:
Healthcare and Family Services
Provider Participation Unit
P.O. Box 19114
Springfield, IL 62794-9114
Effective with dates of service on or after January 1, 2010, claims for psychiatric services rendered by APNs will reject if the Psychiatric and Mental Health Nursing certification is not on file with the department. Providers will receive error code G98- Psychiatric Residency Not on File.
Questions regarding this notice should be directed to the Bureau of Comprehensive Health Services at 1-877-782-5565.
Theresa A. Eagleson, Administrator
Division of Medical Programs