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Elizabeth M. Whitehorn, Director

Provider Notice Issued 01/22/2020

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Date:    January 22, 2020

 

To:       Community Mental Health Centers and Behavioral Health Clinics

 

Re:      Clarification Regarding Mobile Crisis Response (MCR) Procedure Code S9484 Claim Adjustments

 

 

 

This notice clarifies information to providers regarding payment adjustments to procedure code S9484 for Mobile Crisis Response (MCR) to ensure providers receive accurate payment for this service. This notice does not pertain to claim submissions to HealthChoice Illinois managed care plans.

 

By informational notice dated December 17, 2019, the Department informed providers that they could submit replacement claims via MEDI or 837P electronic transactions for procedure code S9484 retroactive to dates of service beginning August 1, 2018, if their claims for S9484 had not paid at the accurate rate. Two Community-Based Behavioral Services fee schedules have been updated to identify to providers the maximum rates for S9484:

 

·         Fee schedule for August 1, 2018 through October 31, 2018

·         Fee schedule for November 1, 2018 through June 30, 2019

 

The timely filing limit has been extended through June 15, 2020, for providers to submit their electronic transactions via MEDI or 837P files to replace S9484 claims that paid at an incorrect rate.

 

Questions regarding this notice may be directed to a community mental health billing consultant in the Bureau of Professional and Ancillary services at 877-782-5565, option sequence 1, 2, 4, then 8.

 

 

Doug Elwell

Medicaid Director