MedicaidDocumentationMedium impact
Reinstatement of Physician Certification Statement (PCS) Form Requirement Effective February 1, 2022
Illinois Medicaid - HFS·IL · Emergency Medicine, Critical Care·Provider Notice
Effective date
Feb 1, 2022
We identified it
Jun 20, 2026
Summary
Starting February 1, 2022, Illinois reinstated the requirement for Physician Certification Statement (PCS) forms for all non-emergency ambulance and medical transports from hospitals and long-term care facilities. This applies to Medicaid fee-for-service, HealthChoice Illinois MCO plans, and MMAI plans, ending the temporary COVID-19 waiver.
Action Required
Effective February 1, 2022: Billing team must ensure PCS forms (HFS 2270) are completed by hospital or LTC facility medical staff prior to all non-emergency ambulance transports. Verify forms are provided at time of transport - one form valid for 60 days for ambulance or 180 days for wheelchair van transports. Claims without proper PCS documentation may be denied for Medicaid patients.