The Illinois Department of Healthcare and Family Services (HFS) recently issued a Provider Release that clarifies the client cost sharing changes that have resulted from the Saving Medicaid Access and Resources Together (SMART) Act.
HFS has also amended its client co-payment chart for All Kids (Assist, Share, Premium Level 1, Premium Level 2), Medicaid Adults, the Breast and Cervical Cancer Program, Illinois Healthy Women and Illinois Veterans Care.
The All Kids website also has a co-payment chart for clients that includes co-payment information for All Kids Share, All Kids Premium Level 1 and All Kids Premium Level 2. There is also a printable version. All Kids Assist co-payment information is not included. All Kids Assist clients do not have co-payments for office or clinic visits.
There are never co-payments for well child visits, immunizations, preventive visit for clients of all ages, diagnostic services or family planning. Family planning related services require a co-payment for office visits.
Starting with dates of service on and after July 16, 2012, HFS will deduct all co-payments from provider reimbursements.
IHC encourages all providers to sign up to receive HFS Provider Releases via E-mail as HFS no longer mails these notices. To sign up for E-mail notification, go to http://www.hfs.illinois.gov/provrel/ and select the appropriate categories.
November 29 UPDATE: This entry was originally posted on August 21, 2012. It was updated to notify providers of the new All Kids co-payment chart for clients and to clarify that there are not co-payments for preventive visits, regardless of age.
