PACE Information and Provider Letters

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Note: These files are in PDF format unless otherwise noted.
Number Title/Notes Date
IL 2012-86 Handling of Sensitive Personal Information and Breach Notification 11/27/2012
IL 2012-83 Changes to the Medicaid Eligibility Service Authorization Verification (MESAV) Effective November 2, 2012 10/29/2012
IL 2012-64 Procedural Changes -- TMHP Denials 7/10/2012
IL 2012-18 Medical Necessity and Level of Care 3.0 Assessment New Version

Note: Revised, new effective Date of May 1, 2012

 3/28/2012
IL 2012-08 Managing the Most Frequent Rejected and Denied Provider Claims 3/22/2012
IL 2012-21 New EDI 5010 Diagnosis Code Requirement -- affects Claim Submission and Payment 3/13/2012
IL 2011-124 Expansion of Money Follows the Person Options to Include Programs of All-Inclusive Care for the Elderly (PACE) 11/1/2011
IL 2011-68 Reminder Regarding Protecting Confidential Information 6/8/2011
IL 2011-52 Disenrollments and "End Dates" 4/26/2011
IL 2011-51 Applicant's/Participant's Addresses 4/26/2011
IL 2011-24 Medical Necessity and Level of Care Assessment 2/4/2011
IL 2011-14 Procedural Changes - Enrollments, Disenrollments and Changes in Medicaid/Medicare Eligibility Status. 1/28/2011
IL 2010-81 MN and LOC 2.0 and 3.0 Submission Timeframes and MN and LOC 3.0 Workshops 7/2/2010
IL 2010-44 Long Term Care (LTC) Online Portal Enhancements for Community Services Waiver Programs: Effective May 21, 2010 5/20/2010
IL 2009-98 Procedure for PACE Participants Who Voluntarily Disenroll From a PACE Facility 7/28/2009
IL 2009-94 Reminder: 12-Month Claims Payment Rule 7/28/2009
IL 2009-67 Clarification That Time Using Continuous Positive Airway Pressure (CPAP) or Bi-level Positive Airway Pressure (BIPAP) Devices Cannot Be Counted as Time to Request Reimbursement for Ventilator/Respirator 6/23/2009
IL 2009-62 Medical Necessity and Level LOC (MN and LOC) Changes 5/20/2009
IL 2009-36 TV Converter Box Program Update 3/13/2009
IL 2008-171 Community Services Medical Necessity (MN) and Level of Care (LOC) Assessment for PACE Participants Residing in Nursing Facilities (NFs) 1/20/2009