Item or Service No. of Days in which to Approve or Deny a Prior Approval Request Responsible Office Form
Medical transportation within Illinois or to facilities normally used by Illinois residents 10 Local 2239
Supplies or sickroom needs 21/30 BCHS 1409
Standard wheelchairs 21 BCHS 2240
Standard hospital beds 21 BCHS 2240
Specially equipped hospital beds 21 BCHS 2240
Custom wheelchairs 30 BCHS 2240
Respiratory equipment, used in administering oxygen, and liquid oxygen 30 BCHS 2240
Other durable equipment 30 BCHS 2240
Braces, artificial limbs, and other prosthetic devices 21 BCHS 2240
Custom-built shoes, shoes with a brace attached, or shoes with other corrective modifications 30 BCHS 2240
Hearing aids 30 BCHS 2240
Transportation to remote facilities outside Illinois and extraordinary modes of transportation 21 BCHS 2239
Therapy (physical, speech, occupational) 30 BCHS 1409
Home Health Agency 21 BCHS 1409
Intermittent home services by RN 21 BCHS 1409
Prescribed drugs 30 DPAU 1409
Dental services 30 revised textDentaQuest
Eye care 30 BCHS 1409
Podiatric 30 BCHS 1409
All other items or services 30 BCHS 1409

Address drug prior approval requests to:

Illinois Department of Healthcare and Family Services
Drug Prior Approval Unit
PO Box 19117
Springfield, IL 62763-0001

Address dental prior approval requests to:

revised textDentaQuest Prior Authorizations
12121 N Corporate Parkway
Mequon, WI 53092

Address all other prior approval requests to:

Illinois Department of Healthcare and Family Services
Practitioner Programs
PO Box 19124
Springfield, IL 62763-0001