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HFS 2270, Physician Certification Statement for Non-Emergency Transportation

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Apr 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois requires a new form HFS 2270 (Physician Certification Statement) for all non-emergency transportation from hospitals or long-term care facilities, replacing the previous MCA and CTS forms. The form must be completed by medical staff before transport and certifies the appropriate level of transportation is medically necessary.

Action Required

Action needed
By April 1, 2019: Healthcare facilities in Illinois must implement the new HFS 2270 (Physician Certification Statement) form for all non-emergency transportation requests. Medical staff must complete this form before patient transport and provide copies to transportation providers. Update discharge planning workflows to include PCS completion. Old MCA and CTS forms will no longer be accepted after April 1, 2019, which could result in transportation payment denials.