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Elizabeth M. Whitehorn, Director

Provider Notice Issued 12/09/2021

Date:   December 9, 2021

To:       Transportation Providers

Re:      Publicly Owned Transportation Providers – Ground Emergency Medical Transportation (GEMT) Supplemental Payments

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 This notice informs providers enrolled in the Ground Emergency Medical Transportation (GEMT) program of erroneous Department payments made on claims for which Medicare is the primary payer.

Providers should not have received GEMT supplemental payments on Medicare-primary claims. The Department will process adjustments on these claims to recoup the affected payments. GEMT providers should not submit refund checks at this time for overpayments related to Medicare primary claims.

When providers need to submit checks for other reasons, providers should not combine IGT payments and overpayment refunds into one check. Checks should be separate and sent to the specific Department area below with detail information included.

  • GEMT IGT payments should be sent to:

 
Illinois Department of Healthcare and Family Services
BFO-GEMT
P.O. Box 19491-9491
Springfield, Illinois 62763

  • Overpayment refunds for reasons other than Medicare primary should be sent with claim level detail to:

 
Illinois Department of Healthcare and Family Services
Attn: Adjustment Unit
P.O. Box 19101
Springfield, Illinois 62793-9101

Questions regarding the program should be sent to HFS.GEMT@illinois.gov.

 
Kelly Cunningham, Administrator
Division of Medical Programs