Thursday, November 8, 2012

Providers can now send prior approval requests online without MEDI

The Illinois Department of Healthcare and Family Services (HFS) has developed an online entry system for Prior Approval (PA) requests to exceed the Four Prescription Per Month policy. It is available on the Four Prescription Limit page of the HFS Web site.

The new online entry system does not require a login or password and allows providers to enter multiple drugs in one submission. Providers can also check the status of a PA request online.

Providers can continue to use the HFS MEDI System to enter and check the status of PA requests submitted through MEDI. Illinois Health Connect highly encourages providers to use MEDI for PA requests.

If online submission is not possible at your office, HFS continues to accept submissions via fax and phone. However, the fax and phone submissions will require an additional four hours for data entry once received.