A worldwide technology outage is causing disruption to some State of Illinois online systems. We are aware of this issue and are diligently working on restoration.

Notice of Privacy Incident
We are offering two in-person Healthchoice Illinois Listening Sessions allow you the opportunity to talk about your experiences with HealthChoice Illinois managed care. Please be sure to register for one of these important events.

D17 Quantity Billed Requires Prior Approval

HFS System Issue:

DME claims with a maximum quantity allowed within a specific timeframe denied D17, Quantity Billed Requires Prior Approval.

Problem:

On 9/11/2014, the system was changed to manage the quantities for a group of supplies. The change affected all DME codes with quantity limitations.

Providers Impacted:

Durable Medical Equipment and Supplies Providers

Procedure Codes Impacted:

All DME HCPC codes that are coded PA Req: N and the Max Quan/ Days field is populated on the fee schedule which can be viewed at http://www.illinois.gov/hfs/MedicalProviders/MedicaidReimbursement/Pages/DME.aspx

Problem Begin Date:

Claims received on or after 9/11/14.

Problem Fix Date:

10/1/14

Resolution for Impacted Claims:

Providers must rebill.

D17 Quantity Billed Requires Prior Approval

HFS System Issue:

Problem:

Providers Impacted:

Procedure Codes Impacted:

Problem Begin Date:

Problem Fix Date:

Resolution for Impacted Claims:

Stay Informed

Helpful Links

D17 Quantity Billed Requires Prior Approval

HFS System Issue:

Problem:

Providers Impacted:

Procedure Codes Impacted:

Problem Begin Date:

Problem Fix Date:

Resolution for Impacted Claims:

Footer

Stay Informed

Helpful Links