News

Inpatient Detoxification Admissions

Date: 11/18/2016

Dear Valued Provider,

This memo is to inform you of changes Cenpatico will be implementing for all Medicaid products and Lines of Business surrounding Inpatient Detoxification admissions. According to the “Save Medicaid Access and Resources Together Act” (SMART ACT) and the Illinois Department of Healthcare and Family Services (HFS), coverage of Inpatient Detoxification admissions is limited to one detoxification admission every 60 days. In accordance with this policy (Public Law 97-0689), effective immediately, Cenpatico will authorize medically necessary detoxification admissions once every 60 days. For further questions, please contact Provider Relations at 866-329-4701.

Best Regards,

Network Development Team