1/1/2012 Fee Schedule Region Maps & Update

As covered in previous posts, there are major changes to the IWCC's fee schedule regions coming January 1, 2012. The regions, and the providers' fee schedule amounts, will change in less than 2 months.

While the Medical Fee Advisory Board initially voted to use a weighted average to collapse the geozip regions, Chairman Mitch Weisz announced at the October 18 meeting that the IWCC will utilize a straight average, without weighting, to collapse the current geozip fee schedule amounts into the four Non Hospital and fourteen Hospital regions.  Our September 20 Board Meeting update included two examples of the the geozip collapse utilizing both a weighted average and a straight average methodology. 

The current IWCC fee schedule lookup utilizes the 3 digit geozip; however, the new regions are defined by county, not geozip.  Per our latest conversations with the IWCC, the new medical fee region lookup and rates will not appear on the IWCC website until the end of the year. 

Maps of the new IWCC fee schedule regions

4 Regions: Non Hospital Fee Schedule Amounts

1. Cook County
2. DuPage, Kane, Lake, & Will Counties
3. Bond, Calhoun, Clinton, Jersey, Macoupin, Madison, Monroe, Montgomery, Randolph, St. Clair, & Washington Counties
4. All other counties in the state

14 Regions: Hospital Fee Schedule Amounts

1. Cook, DuPage, Will, Kane, McHenry, DeKalb, Kendall, & Grundy Counties
2. Kankakee County
3. Madison, St. Clair, Macoupin, Clinton, Monroe, Jersey, Bond, & Calhoun Counties
4. Winnebago & Boone Counties
5. Peoria, Tazewell, Woodford, Marshall, & Stark Counties
6. Champaign, Piatt, & Ford Counties
7. Rock Island, Henry, & Mercer Counties
8. Sangamon & Menard Counties
9. McLean County
10. Lake County
11. Macon County
12. Vermilion County
13. Alexander County
14. All other counties in the state