What is it?
Non-Medical transportation includes services for individuals in the DHS Division of Developmental Disabilities, Adult Home-Based Services (HBS) program. The Home-Based Service (HBS) program is one option available to children and adults with intellectual and developmental disabilities that have been approved to receive DD Medicaid waiver services. The HBS program provides individuals with a monthly allotment they can use to purchase needed services and supports that allow a person to continue to live in the family residence or a live in their own home in the community. Transportation services may be purchased from the monthly allotment for the individual to gain access to waiver and community services, activities and resources as specified by the Personal Plan.
What is it not?
This service does not include transportation to and from medical appointments. It is limited to adults with an intellectual and developmental disability that have been approved for the Home Based Services program. Adult HBS participants should use family, neighbors, friends or community agencies (that can provide this service without charge) whenever possible. Transportation to and from community day services is not billable, as day service transportation is funded through the various day service rates and bill codes.
How do I enroll my transportation company?
Transportation Companies are categorized as high risk providers for Medicaid fraud, waste and abuse and must complete extra screening requirements as determined by the Illinois Department of Healthcare and Family Services (HFS). DHS/DDD is unable to enroll transportation companies until the company has met the screening requirements and the IMPACT application has been approved by HFS Provider Enrollment Services.Once the company has an approved IMPACT application, DHS/DDD Provider enrollment specialist can approve the transportation company to provide non-medical transportation services in the Adults with Developmental Disabilities Medicaid Waiver program
DHS/DDD will not process any enrollment documents submitted by transportation companies if the company does not have an IMPACT application approved by HFS for transportation services. Please contact HFS Provider Enrollment Services at 217-782-5565 or 888-618-8078 for assistance with enrolling in for non-emergency transportation services.
How do I become a DHS DDD Transportation provider?
DHS/DDD can only approve Transportation Companies that have an approved IMPACT application and have met the screening and enrollment requirements as determined by the Illinois Department of Healthcare and Family Services.
1.You must submit the following documents to DHS DDD:
- Department of Human Services
- Division of Developmental Disabilities
- 600 East Ash, Building 400, Mail Stop 2 South
- Springfield, IL 62703
- 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.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 DDD 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 DDD 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.