MedicaidDocumentationMedium impact
Reinstatement of the Certificate of Transportation Services (CTS) as the HFS 2271 Form Effective May 1, 2022
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois is reinstating the Certificate of Transportation Services (CTS) form HFS 2271 effective May 1, 2022, for all non-emergency medical transports originating from a customer's private residence. This form replaces the previous HFS 2270 Physician Certification Statement for these specific transport scenarios and must be completed by a qualified medical professional prior to transport.
Action Required
By May 1, 2022: Billing team must ensure HFS 2271 CTS forms are completed by qualified medical professionals for all non-emergency transports (ambulance, medicar/wheelchair van, service car) originating from patients' private residences. Provide copies to transportation providers at time of transport. Continue using HFS 2270 forms for transports from long-term care facilities or hospitals. CTS forms are valid for 60 days for ambulance transports and 180 days for van/car transports.