OptumRx: IMPORTANT INFORMATION REGARDING Illinois Medicaid Provider Enrollment Revalidations

Effective: September 24, 2016

Author: Kerri Williams/Friday, September 2, 2016/Categories: APCI Choice

As stated in previous notices, the Centers for Medicare and Medicaid Services requires all Medicaid providers’ enrollments to be revalidated by September 24, 2016.

The Department strongly recommends that all provider enrollments be submitted in IMPACT by August 31, 2016 in order for staff to review and approve the enrollments prior to the revalidation deadline.

Failure to submit a provider’s enrollment for revalidation and approval will result in disenrollment from Illinois Medicaid on September 25, 2016. Therefore, prior to providing any future Medicaid services and submitting claims, the provider must re-enroll as a new provider into the program and retroactive requests will not be allowed.

More information on the IMPACT system plus frequently asked questions, webinars and other training guides are available at the IMPACT website: http://www.illinois.gov/hfs/impact/Pages/default.aspx.

If you have any additional questions or need assistance, please contact the IMPACT Help Desk: 

By email: IMPACT.HELP@illinois.gov 

By phone: (877) 782-5565, option #1

For questions regarding this communication or other pharmacy related claims processing issues call: Provider Relations (877) 633-4701 or e-mail provider.relations@optum.com Please distribute immediately.

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