| 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 |
 DentaQuest |
|
| 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:
DentaQuest 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
