MedicaidPrior AuthMedium impact
Prior Approval Required for Non-Emergency Transportation for Long Term Care Residents
Illinois Medicaid - HFS·IL · Geriatrics·Provider Notice
Effective date
Oct 1, 2007
We identified it
Jun 21, 2026
Summary
Starting October 1, 2007, all non-emergency transportation for long-term care residents requires prior approval through First Transit's NETSPAP program. LTC facilities and transportation providers must obtain approval before providing covered transportation services to avoid claim denials.
Action Required
By September 17, 2007: Long-term care facilities and transportation providers must begin submitting prior approval requests to First Transit (1-866-503-9040) for all non-emergency transportation services for LTC residents with dates of service on or after October 1, 2007. Attend mandatory NETSPAP training sessions conducted by First Transit. Update billing workflows to verify prior authorization before providing transportation services. Claims without prior approval will be denied.