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  • Medicaid Provider Termination Alert: Revalidation deadlines are approaching. Failure by providers to revalidate will lead to termination and payment suspension. Check your account now at https://impact.illinois.gov/ to learn if your required revalidation is due this month. More revalidation information here.
Elizabeth M. Whitehorn, Director

Provider Notice issued 11/17/2023

 

Date: November 17, 2023
​To: All Medical Assistance Program Providers
​Re: New Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care Services

The Illinois Medicaid Managed Care Organizations (MCOs), in collaboration with the Illinois Association of Medicaid Health Plans (IAMHP), have developed a Comprehensive Billing Guide for Medical Assistance Program providers. This billing guide is designed to help providers who are contracted with the MCOs understand the general MCO billing requirements.

MCOs have different policies and procedures related to billing. With this manual, the MCOs have created a single source of information for all claims regardless of provider type.

As different sections of the Comprehensive Billing Guide are finalized and published, the Department will update providers via a provider notice by listing the new sections. Version 29 of the IAMHP Comprehensive Billing Manual has been released and posted at https://iamhp.net/providers.

Updates in Version 29 include:

· Inpatient Hospital Services – Added guidance on billing for different Categories of Service

For general questions or feedback regarding the Comprehensive Billing Guide, please contact IAMHP. Questions regarding this notice may be directed to the Bureau of Managed Care at

217-524-7478 or the individual HealthChoice Illinois managed care plan.

 

Laura Ray
Interim Deputy Administrator, Care Coordination