MedicaidPrior AuthLow impact
Prior Approvals for Participants with Unmet Spenddown
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 1, 2008
We identified it
Jun 21, 2026
Summary
Starting May 1, 2008, First Transit Inc. will issue prior approvals for non-emergency transportation for Medicaid participants with unmet spenddown, but payment still requires spenddown to be met. Providers must continue verifying eligibility through MEDI, AVRS, or Health Benefits Hotline before billing.
Action Required
Informational only: For practices providing non-emergency transportation to Medicaid patients with unmet spenddown, continue current billing procedures and verify spenddown status through MEDI system, AVRS at 1-800-842-1461, or Health Benefits Hotline at 1-800-226-0768 before submitting claims. Contact First Transit at 1-866-503-9040 for prior approval questions.