What is it?

Non-Medical transportation includes services for individuals in the DHS Division of Developmental Disabilities, Adult Home-Based Services (HBS) program to gain access to waiver and community services, activities and resources as specified by the Personal Plan. This service is offered in addition to medical transportation services available under the Medicaid State Plan and must not replace them.  Individuals should use family, neighbors, friends or community agencies (that can provide this service without charge) whenever possible. Transportation to and from day services is not billable, as day service transportation is funded through the various day service rates and bill codes.

Transportation to and from medical appointments is NOT a covered service in the Adult Home-Based program.

This is service is covered by the Medicaid State plan and all prospective providers interested in enrolling to provide this service must contact the Illinois Department of Healthcare and Family Services, Bureau of Professional and Ancillary Services for enrollment information.  DHS/DDD can not enroll transportation vendors to provide this service.

Healthcare and Family Services

Division of Medical Programs

Bureau of Professional and Ancillary Services

607 E Adams

FL 004

Springfield, IL 62701

How do I become a DHS DDD Transportation provider?

1.  Non-Medical Transportation providers must provide to DD Provider Enrollment:

  • Department of Human Services
  • Division of Developmental Disabilities
  • 600 East Ash, Building 400, 3rd Floor
  • Springfield, IL 62703
  • Fax: (217) 558-2799
  • Attention: Provider Enrollment
  • copy of valid driver's license to drive in Illinois.
  • copy of proof of automobile liability insurance in accordance with State law.
  • Vehicle plate number of each vehicle used to transport DD waiver participants
  • Vehicle identification number for each vehicle used to transport DD waiver participants
  • An IRS W-9.  Please review the IRS Guidelines to ensure that your W-9 is completed correctly. Incorrectly completed W-9s may result in significant delays in the enrollment

2.  You must submit an IMPACT provider enrollment application to enroll as a Medicaid Waiver provider.

  • All users to the IMPACT system must have a Single Sign-On ID to access the provider enrollment system. Once the User has been granted access to the provider enrollment system, the user may begin the provider enrollment application for your agency.
  • The first step in the provider enrollment application is selecting the enrollment type.  Individuals will be enroll using the Rendering/Servicing Atypical Individuals enrollment type.  Companies will select the enrollment type  Atypical Agencies. Please use the PowerPoint presentations available on the DDD IMPACT Provider page to walk you through each step of the applications. 
  • After submitting an IMPACT application, please email Provider Enrollment the IMPACT application Identification number to ensure that a DD Provider Enrollment Specialist reviews the application. 
  • Note: DD waiver service providers may add this service to their existing IMPACT application by adding the specialty "private auto" and adding the driver's license, VIN, license plate number and insurance information to the Add License/Certification portion of the IMPACT application.

How do I bill for this service?

Please review the following options:

1.  Providers may submit a Fee-For-Service Programs - Request For Payment - Billing By Provider - Event (pdf) (IL462-1177) form to the address below. Please follow the Instructions for IL462-1177 to ensure that the form is completed correctly.

  • Administrative Voucher Unit
  • Department of Human Services
  • Harris Building - 1st Floor
  • 100 South Grand Avenue East
  • Springfield, IL 62762

2. Transportation providers that are frequently chosen to provide transportation services may request access to the DHS electronic billing system.  Please note the computer requirements for using the Community Reporting system (ROCS). You may contact DD Provider Enrollment for more information.

3. Participants who utilize this service may request that a DD primary service provider submit the billing on behalf of the Transportation provider. If the primary service provider agrees to provide billing services, the transportation provider will need to complete a Payee Designation/Authorization Form (IL462-1180).  This form should be maintained on file with the provider that is submitting the billing.