MedicaidReimbursementMedium impact
Chapter A-200, Handbook for Practitioners Rendering Medical Services - Update
Illinois Medicaid - HFS·IL · Radiology, Pathology·Provider Notice
Effective date
Oct 29, 2010
We identified it
Jun 21, 2026
Summary
Illinois Department of Healthcare and Family Services has updated their Practitioner Handbook to clarify reimbursement policies for laboratory and radiology services provided at hospital-owned off-site clinics in addition to office visits. The update includes new billing instructions and allowable charges for these services, and can be applied retroactively to services already provided if timely filing deadlines are met.
Action Required
Illinois providers: Update your Practitioner Handbook by replacing specified pages (HFS A-200 i-ii, v-vi, and A-202 3-6) and adding new Appendix 15 for hospital-owned off-site clinic billing instructions. Download updated pages from the Illinois HFS website or request paper copies. Review new section A-202.15 for allowable charges at hospital-owned off-site facilities. Consider rebilling eligible laboratory and radiology services at hospital-owned off-site clinics if within timely filing limits.