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Elizabeth M. Whitehorn, Director

Provider Notice issued 07/20/11

To:  Participating Physicians, Advanced Practice Nurses, Imaging Centers, Portable X-ray Companies, School-based Linked Health Center, Local Health Department, Independent Laboratory, Hospitals, Optometrists, and Dentists

Date:  July 20, 2011

Re:  Chapter A-200, Handbook for Practitioners Rendering Medical Services Update Regarding Reimbursement for Hospital-Owned Off-site Clinics

 

Rulemaking regarding the department's policies for reimbursement for hospital-owned off-site clinics has been adopted and became effective June 15, 2011. This rulemaking sets forth the requirements that must be met for off-site clinic services to be eligible for reimbursement from HFS. The purpose of this bulletin is to add information on the department's reimbursement policy to the Practitioner Handbook. In addition to this change, HFS is also clarifying language regarding the reimbursement of vaccinations.

 

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 Healthcare and Family Services

Provider Participation Unit
Post Office Box 19114
Springfield, Illinois 62794-9114
Fax Number: 217-557-8800
E-mail the Provider Participation Unit

 

Instructions for Updating Handbook

Table of Contents
Remove pages HFS A-200 (v-vi) and insert new pages HFS A-200 (v-vi)

  • A-202.13 Allowable Fee-For-Service Charges by Hospitals
    Remove page HFS A-202 (3) and insert new page HFS A-202 (3)
  • A-202.15 Allowable Charges for Services Provided at a Hospital-Owned Off-Site Facility
    Remove pages HFS A-202 (4-6) and insert new pages HFS A-202 (4-6)
  • A-226 Vaccinations (Immunizations)
    Remove page HFS A-226 (1-2) and insert new page HFS A-226 (1-2)

 

Appendix 8 Vaccinations Billing Instructions

Remove pages HFS Appendix 8 (1-2) and insert new pages HFS Appendix 8 (1-2)

 

Appendix 15 Billing Instructions for Hospital-Owned Off-Site Clinics Facilities Located more than 35 Miles from the Hospital

Remove pages HFS Appendix 15 (1-2) and insert new pages HFS Appendix 15 (1-2)

Revised Pages (pdf)