MedicaidAdministrativeMedium impact
Attachment C Utilization Review Update for June 1, 2008
Illinois Medicaid - HFS·IL · Infectious Disease, Nephrology, Pulmonology +2 more·Provider Notice
Effective date
Jun 1, 2008
We identified it
Jun 21, 2026
Summary
Illinois Medicaid updated diagnosis codes subject to mandatory concurrent inpatient utilization review effective June 1, 2008. Seven diagnosis codes were removed from review requirements, while 17 new septicemia, electrolyte disorder, chronic bronchitis, ulcer, and ascites codes were added to mandatory review list.
Action Required
By June 1, 2008: Billing team must update utilization review processes to remove codes 282.62, 402.XX, 404.XX, 413.XX, 492.XX, 810.00, and 825.25 from mandatory review requirements. Add new mandatory concurrent review requirements for 17 diagnosis codes including septicemia (038.0-038.44), electrolyte disorders (276.1, 276.7, 276.8), chronic bronchitis (491.20), ulcers (707.11, 707.12, 707.14, 707.8), and ascites (789.51, 789.59). Contact HealthSystems of Illinois at 800-418-4045 for review process questions.