The Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Emergency Instructions for COVID-19 Home Test Kits. You may view the new Notice here.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Illinois Department of Healthcare and Family Services has posted the October 21, 2021 D & T Advisory Board Meeting Minutes at the following link.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Pharmacy Instructions for COVID-19 Vaccine for Children Ages 5-11. You may view the new Notice at the following link as well as a new Provider Notice regarding Pharmacy Billing of Subcutaneous Monoclonal Antibody Treatment. You may view that new Notice at the following link.
Also in Illinois, the Illinois Department of Healthcare and Family Services has posted an Updated DME Fee Schedule. Please note: Corrections have been made to codes L0637, A4230 and A4231. You may view the new Fee Schedule at the following link.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Department of Healthcare and Family Services has posted Updated Medicaid Preferred Drug Lists.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Illinois Department of Public Health (IDPH) has issued updated guidance to help people celebrate the holiday season more safely as the state continues to battle the COVID-19 pandemic.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Instructions for COVID-19 Vaccine Additional Dose and Booster Dose. The Department of Healthcare and Family Services has also posted a REVISED version of the 09/03/2021 Provider Notice entitled Additional Instructions for COVID-19 Vaccine 3rd Booster Dose.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
Governor JB Pritzker (D) has signed two pieces of opioid legislation. HB1842, sponsored by Senator Mattie Hunter (D), which amends statute to modify prescription drug monitoring program requirements and HB3596, sponsored by Representative Dagmara Avelar (D), which amends statute to require Schedule II-V substances prescriptions to be sent electronically.
Also in Illinois, the Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Continuing Prior Approval Requests for Early Synagis Dosing.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
HB711, sponsored by Representative Gregory Harris (D), was signed by Governor JB Pritzker (D) on August 19, 2021. The measure will take effect on January 1, 2022 and applies to all managed care organizations and provides requirements concerning disclosure and review of prior authorization requirements, denial of claims or coverage by a utilization review program, and the implementation of prior authorization requirements or restrictions.
Also in Illinois, HB1745, sponsored by Representative Gregory Harris (D), was signed by Governor JB Pritzker (D) on August 19, 2021. The measure will take effect on January 1, 2023 and requires every health insurance carrier which provides coverage for prescription drugs to ensure that at least a certain percent of an individual’s healthcare plan must apply a flat-dollar copayment structure to their entire drug benefit.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.
The Illinois Department of Healthcare and Family Services has posted a new Provider Notice regarding Prior Approval Requests for Synagis Continued through September 30, 2021. You may view the new Notice at the following link:
Also in Illinois, the Department of Healthcare and Family Services has posted an Updated Preferred Drug List Illinois Medicaid October 1, 2021. You may view the Updated List at the following link.
For more information, contact NACDS’ Leigh Knotts at 803-243-7207.