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Rod R. Blagojevich, Governor

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  Medical Provider Handbooks

 

Chapter 100 contains general policy, procedures and appendices applicable to all participating providers.

Chapter 200 contains specific policy, procedures and appendices applicable to the provision of a specific type of provider or category of service.

Chapter CMH-200 contains general policy, procedures and appendices applicable to Screening, Assessment and Support Services provided under the Children's Mental Health Program. For more information view the Children's Mental Health Program.

Chapter D-200 contains general policy, procedures and appendices applicable to Encounter Clinic Services Providers.

Chapter HK-200 contains general policy, procedures and appendices applicable to all Healthy Kids Services Providers.

Chapter U-200 contains general policy, procedures for Local Education Agencies Fee-for-Services.

Chapter 300 - Companion Guide The information contained in Chapter 300 is a supplement to the X12 (4010A1) or NCPDP (5.1 or 1.1 batch) Implementation Guides. This new handbook contains the companion guides for all providers who will be submitting X12 or NCPDP electronic transactions to the department.

Illinois Department of Healthcare and Family Services offers the most requested Handbooks for download in Portable Document Format (PDF).

In order to view or print these files in the PDF format, you will need Adobe's Acrobat Reader®. You will need to download and install the Acrobat Reader, which is available from Adobe's Web site, on your computer. Click on the Adobe® Icon for the free Download.

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Handbooks may be requested by calling 217-782-0538.

Handbooks have been prepared for the information and guidance of providers who participate in the Illinois Medical Assistance Program and other health care programs funded or administered by the Illinois Department of Healthcare and Family Services. Handbooks state Department of Healthcare and Family Services policy with sufficient instructions and guidelines to enable providers to:

  • know which services provided to eligible participants are covered;
  • submit proper billings for services rendered; and
  • make inquiries to the proper source when it is necessary to obtain clarification and interpretation of department policy and coverage.

Providers will be held responsible for compliance with all policy and procedures contained herein.

Chapter 100
Chapter 200
Chapter HK-200
Chapter U-200
Chapter 300
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