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.
  • The Cook Central Office, 36 South Wabash Avenue, Chicago, will close 02/03/2025.  The new Cook Central Office will open at 115 South LaSalle, Chicago, for in-person service on 02/10/2025.  
  • UPDATE: The State Disbursement Unit (SDU) is processing all payments received. To verify the status of your payment, please log into the SDU parent portal or contact the SDU Customer Service Call Center at 877.225.7077.  For SDU business hours, click here.

Provider Notice Issued 05/29/2020

Date:    May 29, 2020

 

To:       Enrolled Community Mental Health Centers; Behavioral Health Clinics; and Substance Use Disorder Providers

 

Re:      Managed Care Plan Rate Increase for Behavioral Health Services

 

 

 

 

This notice informs community mental health centers (CMHCs), behavioral health clinics (BHCs), and Substance Use Disorder (SUD) providers of rate increases prompted by the COVID-19 public health emergency. The rate increases apply to claims only for participants covered under a HealthChoice Illinois managed care plan.

 

Maximum rates for the codes identified in the attached tables will be increased 20% for service dates March 9 through June 30, 2020. For providers who have already billed at a usual and customary rate that is above the revised Medicaid rate, the plans will reprocess claims at the higher rate automatically.  

 

Providers that did not bill at a usual and customary rate above the revised Medicaid rate will need to submit a corrected claim at a usual and customary rate that is above the revised rate, in order to receive this rate increase. 

 

The IAMHP Comprehensive Billing Guide contains instructions regarding corrected claim submission. Questions regarding this notice should be directed to the appropriate managed care plan.

 

 

Kelly Cunningham

Interim Medicaid Administrator

 

BH SUD MCO Rate Increases by Code (xls)