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 10/03/2019

​

Date:   10/3/2019     

 

To:       Enrolled Optometrists, Physicians, and Optical Supply Companies

 

Re:      Prior Approval of Bambini Frames Available Through Illinois Correctional Industries

 

 

The purpose of this notice is to inform providers regarding a prior approval process for Bambini eyeglass frames available through Illinois Correctional Industries (ICI). This prior approval process applies to participants with fee-for-service coverage. It does not apply to participants covered under HealthChoice Illinois managed care plans.  

 

The 2019 Illinois Medicaid Catalog that ICI mailed to providers featured new frames available through the Dixon Optical Laboratory. The catalog included Bambini frames. These frames are available only with prior approval. Bambini frames will be considered for approval if health or behavioral conditions do not allow the use of regular frames (non-Bambini). Providers should consider all frame selections within ICI before requesting prior approval for frames through any other outside laboratories. 

 

Providers must submit an HFS 1443, Provider Invoice; HFS 2803, Optical Prescription Order; and HFS 1409, Prior Approval Request form with documentation of medical necessity to the attention of the optical billing consultant at the address below:

           

Illinois Department of Healthcare and Family Services

Optical Billing Consultant

P.O. Box 19115 

           Springfield, IL 62794-9115

 

Questions regarding this notice should be directed to an optical billing consultant at

877-782-5565, options 1, 2, 4, and 5.

 

 

Doug Elwell

Medicaid Director