HFS CMHC Billing


 

Dear DMH Providers,

Attached is a document prepared in conjunction with the HFS CMHC Billing Consultants to:

(1) review the conditions of the 180 day timely filing edit required as a result of the SMART Act (Public Act 097-0689) for submission of claims as outlined in the HFS provider notice dated July 23, 2012 (http://www.hfs.illinois.gov/assets/072312n.pdf) and

(2) clarify questions that have arisen with regard to submission of claims and remediation of errors in keeping with the 180 day timely filing edit.

Although the claims processing error rate is fairly low, we think that a review of this information will be useful and will address some questions that we have received with regard to the submission of DMH claims.

Sincerely,

Mary E. Smith, Ph.D.

Associate Director
Decision Support, Research and Evaluation
Division of Mental Health
Illinois Department of Human Services
MaryE.Smith@illinois.gov