Under section 1135 of the Social Security Act, the Secretary of the federal Centers of Medicare & Medicaid Services (CMS) has the authority to temporarily waive or modify Medicaid and CHIP requirements to ensure that sufficient health care items and services are available to meet the needs of enrollees during a public health emergency. 

Illinois requested a waiver of certain provider enrollment regulations for which approval was received from CMS. Other waiver authorities were provided by CMS to states via blanket waivers.

This notice informs providers that payments to providers temporarily enrolled under these provisions will cease effective November 12, 2023, which is six months from the termination of the public health emergency.

Specifically, the following 1135 Waiver flexibilities that HFS has utilized will end on November 11, 2023. HFS will resume normal enrollment operations in its IMPACT system on November 12, 2023:

• Waive the requirement that physicians and other healthcare professionals are licensed in the State of Illinois if they have an equivalent license in another state or Veterans Affairs or are enrolled in Medicare.  
• Waive site visits to temporarily enroll a provider.
• Suspend revalidation of Medicaid providers, allowing them to remain enrolled.
• Allow non-emergency ambulance suppliers and non-enrolled Non-Emergency Medical Transportation (NEMT) providers when necessary. [Please note: HFS has pursued allowing Transportation Network Companies as a permanent type of non-emergency medical transportation (NEMT) under the State Plan. See provider notice dated October 31, 2023.]

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

Kelly Cunningham, Administrator

Division of Medical Programs

Under section 1135 of the Social Security Act, the Secretary of the federal Centers of Medicare & Medicaid Services (CMS) has the authority to temporarily waive or modify Medicaid and CHIP requirements to ensure that sufficient health care items and services are available to meet the needs of enrollees during a public health emergency. 

Illinois requested a waiver of certain provider enrollment regulations for which approval was received from CMS. Other waiver authorities were provided by CMS to states via blanket waivers.

This notice informs providers that payments to providers temporarily enrolled under these provisions will cease effective November 12, 2023, which is six months from the termination of the public health emergency.

Specifically, the following 1135 Waiver flexibilities that HFS has utilized will end on November 11, 2023. HFS will resume normal enrollment operations in its IMPACT system on November 12, 2023:

• Waive the requirement that physicians and other healthcare professionals are licensed in the State of Illinois if they have an equivalent license in another state or Veterans Affairs or are enrolled in Medicare.  
• Waive site visits to temporarily enroll a provider.
• Suspend revalidation of Medicaid providers, allowing them to remain enrolled.
• Allow non-emergency ambulance suppliers and non-enrolled Non-Emergency Medical Transportation (NEMT) providers when necessary. [Please note: HFS has pursued allowing Transportation Network Companies as a permanent type of non-emergency medical transportation (NEMT) under the State Plan. See provider notice dated October 31, 2023.]

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

Kelly Cunningham, Administrator

Division of Medical Programs

Under section 1135 of the Social Security Act, the Secretary of the federal Centers of Medicare & Medicaid Services (CMS) has the authority to temporarily waive or modify Medicaid and CHIP requirements to ensure that sufficient health care items and services are available to meet the needs of enrollees during a public health emergency. 

Illinois requested a waiver of certain provider enrollment regulations for which approval was received from CMS. Other waiver authorities were provided by CMS to states via blanket waivers.

This notice informs providers that payments to providers temporarily enrolled under these provisions will cease effective November 12, 2023, which is six months from the termination of the public health emergency.

Specifically, the following 1135 Waiver flexibilities that HFS has utilized will end on November 11, 2023. HFS will resume normal enrollment operations in its IMPACT system on November 12, 2023:

• Waive the requirement that physicians and other healthcare professionals are licensed in the State of Illinois if they have an equivalent license in another state or Veterans Affairs or are enrolled in Medicare.  
• Waive site visits to temporarily enroll a provider.
• Suspend revalidation of Medicaid providers, allowing them to remain enrolled.
• Allow non-emergency ambulance suppliers and non-enrolled Non-Emergency Medical Transportation (NEMT) providers when necessary. [Please note: HFS has pursued allowing Transportation Network Companies as a permanent type of non-emergency medical transportation (NEMT) under the State Plan. See provider notice dated October 31, 2023.]

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

Kelly Cunningham, Administrator

Division of Medical Programs