03/26/2024 |
Fee for Service -- Effective January 1/2024 for FY2024
Updated the Rate file for FY24.
Added new bill codes 32G, 34G, 34U for SODC SEP Group and Individual.
Added DD Site ID as required data field for bill codes: 31C, 31U, 31V, 32G, 33G, 34G, 34U, 36G, 36U, 37U, 38C, 38U, 53D, 53R, and 53S.
Rate Level 1 is statewide rate - level 2 is Chicago Metro Regionalized Rate for all bill codes listed above.
DD Site ID specifies the Rate Level which self populates "Rate Level" in ROCS.
All site additions, adjustments and closures must be done through DD Site ID Request form (IL462-5206).
DD Sites will be updated once a month based on agencies submission of DD Site ID Request Form.
Agencies will have to upload updated site list when available. |
08/19/2022 |
Fee for Services: Updated rate information for FY2023.
FY2023: added to Rate Levels for program codes 61H, 62H and 63H. Level 1 is state wide rate, level 2 is Chicago rate. |
03/01/2022 |
Fee for Service: Add new bill code 53S which will be effective beginning 4/1/2022. Correct rate level calculations for 36G and 36U. |
02/08/2022 |
Volume III - Page 16
Fee for Services - Billing Record Format
Adjust rates for Program codes 31C, 31U, 39U, 61H, 62H, 63H
Adjust max. number of daily hours to 7 hours prior to 01/01/2022 for program codes 31C, 31U, 39G, 39U |
01/01/2022 |
Volume III - Page 15
Fee for Services - Billing Record Format
New program codes 33G, 38C, 61H, 62H, 63H
Reactivated program codes 36G, 36U, 38U
Rate Level is the Statewide Rate |
9/30/2020 |
Volume III - Page 15
Fee for Services - Billing Record Format
New program code 31V, is effective September 1, 2020.
Report the rate level for 31V.
Rate level 1 and 2 is the statewide rate.
Valid values: 1 or 2 |
1/15/2019 |
Volume III - Page 14
Fee for Services - Billing Record Format
New program code 31C, is effective April 1, 2019.
Report the rate level for 31C.
Rate level 1 is the statewide rate. Rate level 2 is the Chicago rate.
Valid values: 1 or 2 |
07/31/2018 |
Volume III - Page 14
Fee for Services - Billing Record Format
Effective Fiscal Year 2019, for the following program codes report the rate level:
30U, 31A, 31U, 37U, 38U, 39G, 39U, 53D and 53R
Rate level 1 is the statewide rate. Rate level 2 is the Chicago rate.
Valid values: 1 or 2 |
07/06/2015 |
Volume I - Page 17 - 41
Client Mental Health Record Format
Principal Diagnosis no longer needed.
- Diagnosis Type no longer needed.
- Increased the size of the 9 Diagnosis fields from 5 to 8 bytes to accommodate ICD-10 codes.
- Added 9 new fields, Diagnosis Code Type 1-9, to distinguish between ICD-9 and ICD-10 codes. Diagnosis Code Type for ICD-9 is 9. Diagnosis Code Type for ICD-10 is A. This field is required for each diagnosis code entered.
- When Registration Date is on or after October 1, 2015, and existing MH registration information is updated; ICD-10 code is required.ICD-9 code is not allowed.
- When Registration Date is on or before September 30, 2015, and existing MH registration information is updated; ICD-9 code is required. ICD-10 code is allowed.
- Effective October 1, 2015, new MH registrations will no longer be allowed.
- Duplicate diagnoses may not be entered.
- Codes for Deferred Diagnosis and No Diagnosis will no longer be allowed.
Volume I
Page 42 - 55
Client Developmental Disabilities Record Format
- Principal Diagnosis no longer needed.
- Diagnosis Type no longer needed.
- Increased the size of the 9 Diagnosis fields from 5 to 8 bytes, to accommodate ICD-10 codes.
- Added 9 new fields, Diagnosis Code Type 1-9, to distinguish between ICD-9 and ICD-10 codes.
Diagnosis Code Type for ICD-9 is 9.
Diagnosis Code Type for ICD-10 is A.
This field is required for each diagnosis code entered.
- When Registration Date is on or after October 1, 2015, at least one ICD-10 code is required from the subset of ICD-10 codes provided in Appendix C. ICD-9 code is not allowed.
- When Registration Date is on or before September 30, 2015; ICD-9 code is required. ICD-10 code is allowed.
- Duplicate diagnoses may not be entered.
- Codes for Deferred Diagnosis and No Diagnosis will no longer be allowed.
Appendix C Replacement ICD10 Codes
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03/03/2008 |
Volume I
Page 11 Add new Disaster Type value for the Northern IL University (NIU) incident.
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08/24/2007 |
Volume III
Page 14 Added new Service Code values for Behavioral Intervention & Treatment (56U) and Emergency Home Response (55W).
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07/01/2007 |
i Updated contact information for Help Desk
iv-vi Removed references to diskette processing and updated production schedule for weekly processing of Service Reporting/MH Billing.
Volume I
Page 30 Clarified description for "Household Income" as a "monthly" amount.
Volume II
Page 7 Added new event activity code 5L to the notes for MH billable hours and minutes of service.
Appendix
A,B,C,E,F Removed from manual. The information previously contained in these appendices will be posted in separate documents on the web page.
D Renamed Appendix A
G Renamed Appendix B
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08/21/2006 |
Cover, vii Changed the DHS "Provider Claims Section" to the "Unified Health Systems Section"
Volume I
Page 51-53 Added the following NOTE where applicable:
Effective October 1, 2006, only ICD-9 codes can be reported for DD case registrations.
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