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Elizabeth M. Whitehorn, Director

Provider Notice issued 05/01/15

Reimbursement Rate Reductions Effective May 1, 2015  through June 30, 2015 

To:​ Enrolled Imaging Centers, Portable X-Ray Providers, Independent Laboratories, and Independent Diagnostic Testing Facilities ​
Date:​ ​May 1, 2015
​Re: Reimbursement Rate Reductions Effective May 1, 2015  through June 30, 2015 ​

As a result of Public Act 099-0002 (pdf), the department is required to reduce reimbursement rates paid to providers of laboratory and imaging services rendered on or after May 1, 2015 through June 30, 2015 by 16.75percent. 

There are no changes in the procedures for billing the department. Providers should continue to bill their usual and customary charge for each procedure code. A revised fee schedule reflecting the rate reductions is posted to the HFS website. 

These reductions apply to fee-for-service reimbursement.  If services are being provided under a Managed Care Organization (MCO) or Managed Care Community Network

(MCCN) contract, please refer to those contractual terms.

Any questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 1-877-782-5565.

Felicia F. Norwood

Director