MedicaidAdministrativeHigh impact
Chapter A-200, Handbook for Practitioners Rendering Medical Services Claim Submission Policy Update for Services Rendered by Advanced Practice Nurses Effective with Dates of Service on and after September 1, 2021
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Sep 1, 2021
We identified it
Jun 20, 2026
Summary
Effective September 1, 2021, Advanced Practice Nurses (APNs) must bill under their own name and NPI number for all Medicaid and Medicare-Medicaid services. APNs can no longer bill under their collaborating physician's name and NPI, and must be enrolled as rendering providers in IMPACT.
Action Required
By September 1, 2021: All APNs must enroll as Rendering/Servicing providers in IMPACT if not already enrolled. Billing team must update all claims to use APN's name and NPI as the rendering or ordering/referring/prescribing provider. Stop billing APN services under collaborating physician's name and NPI. Claims billed incorrectly will not be processed.