MedicaidPrior AuthMedium impact
Removal of Prior Approval Requirement – Error Code R09
Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
May 4, 2007
We identified it
Jun 21, 2026
Summary
Effective immediately, Community Mental Health providers who are not SASS providers no longer need prior approval for claims related to recipients enrolled in the Screening, Assessment and Support Services (SASS) program. Claims that previously received error code R09 for prior approval required will now be processed without rejection.
Action Required
Immediately: Billing team should resubmit any previously rejected claims with error code R09 for SASS program recipients. Update billing procedures to remove prior authorization requirements for non-SASS providers treating SASS program enrollees. Submit all claims for SASS recipients to HFS for processing either electronically or via paper claims.