• Attention Providers: Flu Shot Information

    IlliniCare Health provides coverage for flu shots. If you are providing a flu shot to your patients, please refer to the HFS website for the most appropriate codes to bill. We want to keep our members happy and healthy this flu season, and always.

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  • Biopharmacy Update

    Biopharmacy Update: As of 10.1.14, Perinatologists and OB/GYNs will not require authorizations for codes: J2791 (injection rho(d) immune globulin intramuscular or intravenous,100iu) J2792 (Injection rho(d) immune globulin, intravenous, human, solvent detergent, 100iu)

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  • Hospital Rate Reform

    TO:                       All IlliniCare Hospital Partners   Hospital Rate Reform:    All Patient Refined-DRG (APR-DRG) and Enhanced Ambulatory Patient Grouping (EAPG) HFS is currently undergoing hospital payment rate reform which includes updating of Inpatient (APR-DRG) and outpatient (EAPG) hospital payment methodologies.  IlliniCare Health has gone through several iterations of testing to ensure readiness under these new payment…

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