New Requirement for Reimbursement this January

Were you aware that the Medicaid Director of Illinois has instituted a new requirement for NPI (National Provider Identification) Numbers? This NPI requirement pertains to all Speech, P.T., O.T., and Audiology Services.

Starting on January 1, 2019, to receive your Medicaid reimbursement, the ordering, referring or prescribing practitioner much have a valid NPI number and they must be enrolled through the Illinois Medicaid Program Advanced Cloud Technology (IMPACT). This change was documented in the Provider Notice issued on 11/9/2018. Contact our office if you would like a copy of the notice.

System Update

If you are a client of our Fee-for-Service program, we’ll send you sample referral forms upon your request. In addition, we’ve already updated our software to help you be compliant with this new requirement. When a provider is entering the referring physician, the screen now has a required field for adding the NPI number.

 

Who’s missing?

In addition to requiring the provider to enter the information when a session is recorded, we’ve also created a new report that will identify which student records still need to be updated.

As always, the team at R&G is dedicated to maximizing your funding through smarter claims for Medicaid reimbursements. If you have any questions about the new requirement or you would like a sample of our referral form, just email Holly at holly@rgconsultant.net.