MedicaidPrior AuthLow impact
Prior Approval for Trips to Group Psychotherapy
Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Oct 5, 2009
We identified it
Jun 21, 2026
Summary
Group psychotherapy service limitations for non-emergency transportation do not apply to trips to hospital outpatient Type A and Type B psychiatric services. This clarification exempts hospital-based psychiatric services from prior approval requirements that may apply to other group therapy transportation.
Action Required
Immediately: Billing team should note that trips to hospital outpatient Type A and Type B psychiatric services do not require prior approval for non-emergency transportation, unlike other group psychotherapy services. Update any internal documentation or workflows related to psychiatric service transportation approvals.