TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.TABLE E TIME LIMITS FOR PROCESSING OF PRIOR APPROVAL REQUESTS


 

Section 140.TABLE E   Time Limits for Processing of Prior Approval Requests

 

 

ITEM/SERVICE

NUMBER OF DAYS

 

 

1.     Routine transportation within Illinois or to facilities normally utilized by Illinois residents

10

 

 

2      Supplies/sickroom needs costing less than $100

21

 

 

3.     Standard wheel chairs

21

 

 

4.     Standard hospital beds

21

 

 

5.     Specialty-equipped hospital beds

21

 

 

6.     Custom wheel chairs

30

 

 

7.     Respiratory equipment

30

 

 

8.     Other durable equipment

30

 

 

9.     Braces, artificial limbs and other prosthetic devices

21

 

 

10.   Custom-built shoes and shoes to which a brace or other corrective device is attached.

30

 

 

11.   Hearing aids

30

 

 

12.   In-patient hospital physical rehabilitation services

30

 

 

13.   Supplies/sickroom needs over $100

30

 

 

14.   Transportation to remote facilities outside Illinois and extra-ordinary modes of transportation

21

 

 

15.   Physical therapy

30

 

 

16.   Speech therapy

30

 

 

17.   Occupational therapy

30

 

 

18.   Home Health Agency

21

 

 

19.   Intermittent services in the home by a registered nurse

21

 

 

20.   Private duty registered nurse service in a hospital

10

 

 

21.   Dental Services

30

 

 

22.   Dental Services for GA/AMI/Refugee Programs

30

 

 

23.   Eye Care Services

30

 

 

24.   Chiropractic Services

30

 

 

25.   Podiatric Services

30

 

 

26.   All other items or services requiring prior approval.

30

 

 (Source:  Added (by codification with no substantive change) at 8 Ill. Reg. 17899)