MedicaidPrior AuthMedium impact
Prior Approval for Trips to Group Psychotherapy
Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Oct 1, 2009
We identified it
Jun 21, 2026
Summary
Starting October 1, 2009, group psychotherapy transportation services are limited to 2 round trips per 7-day period, with all existing prior approvals being cancelled and re-issued with the new limits. New physician credential requirements take effect January 1, 2010, requiring group psychotherapy to be performed by physicians with completed general psychiatry residency programs.
Action Required
By January 1, 2010: Billing team must submit new prior approval requests for group psychotherapy transportation through First Transit Inc. (1-866-503-9040). Verify that group psychotherapy providers have completed approved general psychiatry residency programs or are residents/attending physicians at approved programs. Update provider credentialing verification processes to include psychiatric residency certification requirements.