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Illinois Administrative Code (Last Updated: March 27, 2024) |
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TITLE89. SOCIAL SERVICES |
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PART140. MEDICAL PAYMENT |
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SUBPARTB. MEDICAL PROVIDER PARTICIPATION |
| § 140.11. Enrollment Conditions for Medical Providers |
| § 140.12. Participation Requirements for Medical Providers |
| § 140.13. Definitions |
| § 140.14. Denial of Application to Participate in the Medical Assistance Program |
| § 140.15. Suspension and Denial of Payment, Recovery of Money and Penalties |
| § 140.16. Termination, Suspension or Exclusion of a Vendor's Eligibility to Participate in the Medical Assistance Program |
| § 140.17. Suspension of a Vendor's Eligibility to Participate in the Medical Assistance Program |
| § 140.18. Effect of Termination, Suspension, Exclusion or Revocation on Persons Associated with Vendor |
| § 140.19. Application to Participate or for Reinstatement Subsequent to Termination, Suspension, Exclusion or Barring |
| § 140.20. Submittal of Claims |
| § 140.22. Magnetic Tape Billings [Repealed] |
| § 140.23. Payment Of Claims |
| § 140.24. Payment Procedures |
| § 140.25. Overpayment or Underpayment of Claims |
| § 140.26. Payment to Factors Prohibited |
| § 140.27. Assignment of Vendor Payments |
| § 140.28. Record Requirements for Medical Providers |
| § 140.30. Audits |
| § 140.31. Emergency Services Audits |
| § 140.32. Prohibition on Participation, and Special Permission for Participation |
| § 140.33. Publication of List of Sanctioned Entities |
| § 140.35. False Reporting and Other Fraudulent Activities |
| § 140.40. Prior Approval for Medical Services or Items |
| § 140.41. Prior Approval in Cases of Emergency |
| § 140.42. Limitation on Prior Approval |
| § 140.43. Post Approval for Items or Services When Prior Approval Cannot Be Obtained |
| § 140.44. Withholding of Payments Due to Fraud or Misrepresentation |
| § 140.45. Withholding of Payments Upon Provider Audit, Quality of Care Review, Credible Allegation of Fraud or Failure to Cooperate |
| § 140.55. Electronic Data Interchange Service |
| § 140.71. Reimbursement for Medical Services Through the Use of a C-13 Invoice Voucher Advance Payment and Expedited Payments |
| § 140.72. Drug Manual [RECODIFIED] |
| § 140.73. Drug Manual Updates [RECODIFIED] |
| § 140.74. Resolution of Claims Related to Inaccurate or Updated Enrollment Information |
| § 140.75. Managed Care - Disputed Provider Claims Resolution Process |