January 30, 2015
To: Hospital Emergency Department Directors in Managed Care Areas Outside Cook County and
Division of Mental Health Funded Community Mental Health Providers
Re: Involuntary Patient Transportation - In Managed Care Areas Outside Cook County
Currently, hospitals and Illinois Division of Mental Health (DMH) funded providers evaluating persons for involuntary transportation for inpatient psychiatric services, including to private and state operated hospitals, call Illinois Patient Transport (IPT) to accomplish the transport.
An increasing number of Medicaid or Medicare/Medicaid eligible beneficiaries are being assigned to Managed Care Organizations (MCOs). The Department of Healthcare and Family Service (HFS) has confirmed that transportation for managed care enrolled recipients from one covered service, e.g. emergency department evaluation, to another covered service, e.g. inpatient psychiatric admission, is the obligation of the MCOs.
HFS and DMH have notified the MCOs of their transportation obligation.
Implementation of this change will begin March 1, 2015. The current DMH transportation provider, Advanced Medical Transport dba Illinois Patient Transport (IPT), will concurrently screen involuntary transport requests to verify their insurance, including Medicaid coverage. Transport requests for beneficiaries covered by a MCO will be referred back to the hospital to obtain MCO authorization to accomplish the transport.
A teleconference has been scheduled for February 17, 2015 from 1:00pm to 2:00pm to respond to questions. Please call in at 888-494-4032; passcode # 659-058-5688#. Additionally, DMH region directors will be available to respond to questions that arise outside the conference call.
If there are any questions about this matter, please address them on our February 17, 2015 conference call or send them to the DMH IPT contract monitor Jordan Litvak at firstname.lastname@example.org.