PM 20-13-02.

  1. (Provider) Requests prior approval using Prior Approval Request (Form 1409).
  2. (Provider) Includes all needed information in requests for prior approval for surgery.
  3. (Provider) Mails Form 1409 to:

    HFS Bureau of Comprehensive Health Services
    P.O. Box 19124
    Springfield, IL 62794-9124 

  4. (BCHS) Decides if prior approval is given.

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