The Illinois Department of Healthcare and Family Services (HFS) holds to specific standards and data elements regarding claims submission. IAMHP worked with HFS to develop guidelines for providers to facilitate correct application of rules and requirements
MCOs are relaying the information from these provider memorandums and presentations in an effort to reiterate and provide transparency on guidelines.
Provider Memos on Claim Requirements for Encounters
MCO Presentations for Encounter Error Solutions
RESOURCE CENTER FOR PROVIDERSBilling Guidelines Hospital Discharge ResourcesPre-Authorization links
LONG-TERM CARE PROVIDERS