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Provider Notice issued 10/31/2023
| Date: | October 31, 2023 |
| To: | All Medical Assistance Program Providers |
| Re: | Transportation Network Companies (TNCs) Enrollment Beginning November 1, 2023 |
This notice announces the Department of Healthcare and Family Services (HFS) will allow the usage of transportation network companies (TNCs) as a type of non-emergency medical transportation (NEMT) provider. TNCs may begin the enrollment process effective November 1, 2023.
A TNC is an entity that uses a digital network or software application service to connect passengers to TNCs such as Uber or Lyft. During the COVID-19 public health emergency (PHE), TNCs were utilized by the HFS managed care organizations (MCOs) as an additional means to provide non-emergency transportation for their members. The planned inclusion of TNCs on a permanent basis provides customers an additional option to secure transportation services.
Provider Enrollment
NEMT services will be reimbursable to TNCs enrolled in the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) provider enrollment system as follows:
IMPACT Provider Type |
IMPACT Specialty |
IMPACT Subspecialty |
Transportation (Legacy System Provider Type 73) |
Transportation Network Provider (Legacy System Category of Service 141) |
None |
Providers should review the IMPACT Account Activation Instructions for New External IMPACT Users.
Provider Billing
TNC services are billed using the 837 Professional (837P) electronic claim transaction.
·Procedure Code - T2003, Non-emergency transportation; encounter/trip
·Taxonomy - 347C00000X – Private Vehicle
Questions regarding this notice may be directed to a transportation billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565.
Kelly Cunningham, Administrator
Division of Medical Programs