Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart B - MEDICAL PROVIDER PARTICIPATION
- Section 140.11 - Enrollment Conditions for Medical Providers
- Section 140.12 - Participation Requirements for Medical Providers
- Section 140.13 - Definitions
- Section 140.14 - Denial of Application to Participate in the Medical Assistance Program
- Section 140.15 - Suspension and Denial of Payment, Recovery of Money and Penalties
- Section 140.16 - Termination, Suspension or Exclusion of a Vendor's Eligibility to Participate in the Medical Assistance Program
- Section 140.17 - Suspension of a Vendor's Eligibility to Participate in the Medical Assistance Program
- Section 140.18 - Effect of Termination, Suspension, Exclusion or Revocation on Persons Associated with Vendor
- Section 140.19 - Application to Participate or for Reinstatement Subsequent to Termination, Suspension, Exclusion or Barring
- Section 140.20 - Submittal of Claims
- Section 140.21 - Reimbursement for QMB Eligible Medical Assistance Recipients and QMB Eligible Only Recipients and Individuals Who Are Entitled to Medicare Part A or Part B and Are Eligible for Some Form of Medicaid Benefits
- Section 140.22 - Magnetic Tape Billings (Repealed)
- Section 140.23 - Payment Of Claims
- Section 140.24 - Payment Procedures
- Section 140.25 - Overpayment or Underpayment of Claims
- Section 140.26 - Payment to Factors Prohibited
- Section 140.27 - Assignment of Vendor Payments
- Section 140.28 - Record Requirements for Medical Providers
- Section 140.30 - Audits
- Section 140.31 - Emergency Services Audits
- Section 140.32 - Prohibition on Participation, and Special Permission for Participation
- Section 140.33 - Publication of List of Sanctioned Entities
- Section 140.35 - False Reporting and Other Fraudulent Activities
- Section 140.40 - Prior Approval for Medical Services or Items
- Section 140.41 - Prior Approval in Cases of Emergency
- Section 140.42 - Limitation on Prior Approval
- Section 140.43 - Post Approval for Items or Services When Prior Approval Cannot Be Obtained
- Section 140.44 - Withholding of Payments Due to Fraud or Misrepresentation
- Section 140.45 - Withholding of Payments Upon Provider Audit, Quality of Care Review, Credible Allegation of Fraud or Failure to Cooperate
- Section 140.55 - Electronic Data Interchange Service
- Section 140.71 - Reimbursement for Medical Services Through the Use of a C-13 Invoice Voucher Advance Payment and Expedited Payments
- Section 140.72 - Drug Manual (Recodified)
- Section 140.73 - Drug Manual Updates (Recodified)
- Section 140.74 - Resolution of Claims Related to Inaccurate or Updated Enrollment Information
- Section 140.75 - Managed Care - Disputed Provider Claims Resolution Process
Disclaimer: These regulations may not be the most recent version. Illinois may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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