Provider Notices
Providers in the CountyCare network can access notifications, Town Hall presentations and other notices specific to providers here. Click on any of the PDFs below to view and download.
Notices
12/31/2022 – 2022 Annual Provider Notice
12/23/2022 – REVISED: 2023 Formulary Updates
12/15/2022 – Current Billing Requirements for Hyperbaric Oxygen (HBO) Treatment
12/14/2022 – Prior Authorization Changes for 2023
11/30/2022 – Provider Relations Department Update
11/25/2022 – 2023 Formulary Updates
11/16/2022 – EDI Gateway Update: Availity
9/20/2022 – PCP Roster Updates for OB/GYNs and Pediatrics
9/6/2022 – Updated Notice: Change in Payment for Elective Deliveries, Effective October 3, 2022
8/3/2022 – Change in Payment for Elective Deliveries, Effective Oct. 3, 2022
7/22/2022 – UPDATED: Observation vs. Inpatient Level of Care
7/16/2022 – FQHC Covid-19 Fee Schedule EDI Updates
7/16/2022 – Same Calendar Day Admit and Discharge Inpatient Claims EDI Updates
7/7/2022 – COVID-19 Prior Authorization Temporary Changes for Skilled Nursing Facilities
6/23/2022 – Amendment to Behavioral Health Appointment Time Frames
5/20/2022 – Observation vs. Inpatient Level of Care
5/18/2022 – Certificate of Transportation Services Form New Requirements
5/5/2022 – General Notice: POS 21/22 vs. 23 on ER Claims
5/5/2022 – Telehealth Billing Guidance for SUPR Providers
4/22/2022 – Urgent UM Request Process Change
4/15/2022 – Illinois Preferred Drug List: Formulary Update
4/13/2022 – HEDIS Measurement Reference Guide Available on the Website
4/5/2022 – Provider Dispute System and Process for 30-Day Readmissions Disputes
3/15/2022 – 60-Day Notification of Prior Authorization Changes
3/11/2022 – UPDATE: Preferred Drug List Changes
3/10/2022 – Hospital Administrative Policy
2/15/2022 – CountyCare Peer-to-Peer Review – Update
1/28/2022 – Taxonomy Codes Required on Claims Submission or Claim Could be Rejected
1/14/2022 – COVID-19 Prior Authorization Temporary Changes for Skilled Nursing Facilities
1/21/2022 – Enhancements to Utilization Management Provider Portal (See Quick Reference Guide)
12/28/2021 – Reminder PA Changes Effective 1/1/2022
12/17/2021 – Important Announcement: Non-Emergent Ambulance Transition Effective 1/1/2022
12/1/2021 – COVID-19 Prior Authorization Temporary Changes – Updates
10/15/2021 – Car-T Therapy Policy and Procedure
8/13/2021 – Updated CountyCare Provider Manual
8/6/2021 – Criteria and Process in Selected Surgical Procedures
6/4/2021 – Inpatient Readmissions: Reimbursement Policy, Effective 7/1/2021
5/13/2021 – CountyCare Drug List – Update
5/11/2021 – COVID-19 Vaccine Waste Guidance for Providers
4/30/2021 – Business Enterprise Program Certification Training for Providers
4/28/2021 – COVID-19 Prior Authorization Temporary Changes – Updates
4/23/2021 – ACTION REQUIRED: Provider Roster Required Fields
4/17/2021 – Resumption of Timely Filing Effective June 1, 2021
4/6/2021 – COVID-19 Prior Authorization Temporary Changes – Updates
3/30/2021 – Formulary Updates Effective April 1, 2021
3/29/2021 – Provider Relations Representative Reference – March 2021
3/4/2021 – COVID-19 Prior Authorization Temporary Changes – Updates
3/1/2021 – COVID-19 Vaccine and Administration Billing
3/1/2021 – Non-Emergent Medical Transportation Ambulance Claims Update – March 2021
2/12/2021 – SUPPORT Act –New Updates Related to Opioids
1/14/2021 – COVID-19 Mass Vaccination Guidance for Providers
1/28/2021 – COVID-19 Prior Authorization Temporary Changes – Updates – February 2021
1/1/2021 – Provider Relations Team Notice January 2021 [PDF]