Notice of Privacy Incident
Medicaid Provider Termination Alert: Revalidation deadlines are approaching. Failure by providers to revalidate will lead to termination and payment suspension. Check your account now at https://impact.illinois.gov/ to learn if your required revalidation is due this month. More revalidation information here.

Coronavirus (COVID-19) Updates

COVID testing and vaccines are free in Illinois. Find vaccination sites near you. If you are a Medicaid customer or are uninsured and you have been asked to pay out of pocket for a COVID test or vaccine, please call 877-805-5312 and press 9 for assistance.

ARPA Payments Webpage - For information related to the distribution of ARPA funds

CARES Payments Webpage - For information related to the distribution of CARES Act funds

Coronavirus (COVID-19) Updates

2024-09-13 COVID-19 Fee Schedule - UPDATED
2024-07-30 COVID-19 Fee Schedule - UPDATED
2024-04-24 COVID-19 Fee Schedule - UPDATED
2024-03-05 Approval ARP HCBS Enhanced FMAP FY24 Q1 (pdf)
2023-11-17 COVID-19 Fee Schedule - UPDATED
2023-09-15 COVID-19 Fee Schedule - UPDATED
2023-06-16 COVID-19 Fee Schedule - UPDATED
2023-06-06 Provider Notice - Hospital Billing on the 837P for COVID-19 Hospital-Based Outpatient Services for the COVID-19 Uninsured Population
2023-05-12 COVID-19 Fee Schedule - UPDATED
2023-05-05 COVID-19 Fee Schedule - UPDATED
2023-05-03 Provider Notice - Pharmacy – Resumption of Billing Policies at COVID-19 Public Health Emergency End
2023-05-02 Provider Notice - Billing for IV Infused Monoclonal Antibody Treatment and COVID-19 Vaccine Administration in the Home Setting
2023-05-02 COVID-19 Fee Schedule - UPDATED
2023-03-31 Approval ARP HCBS Enhanced FMAP FY23 Q3 (pdf)
2023-03-13 COVID-19 Fee Schedule - UPDATED
2023-01-09 COVID-19 Fee Schedule - UPDATED
2022-12-28 COVID-19 Fee Schedule - UPDATED
2022-12-22 Provider Notice - COVID-19 Limited Treatment Coverage for Monoclonal Antibody Administration for the Uninsured Population – Professional Claim Submittal
2022-12-16 Update Regarding the COVID-19 Uninsured Portal (pdf)
2022-12-09 COVID-19 Fee Schedule - UPDATED
2022-12-05 Approval ARP HCBS Enhanced FMAP FY23 Q2 (pdf)
2022-12-05 COVID-19 Fee Schedule - UPDATED
2022-11-28 Appendix K: Approved Amendment Signed Approval Letter IL 0326 (pdf)
2022-11-28 Appendix K: Approved Amendment IL 0326 (pdf)
2022-11-04 COVID-19 Fee Schedule - UPDATED
2022-10-27 COVID-19 Fee Schedule - UPDATED
2022-10-21 COVID 19 Fee Schedule - UPDATED
2022-10-06 Provider Notice - COVID-19 Limited Treatment Coverage of Oral Medications and Monoclonal Antibody Administration for the Uninsured Population
2022-10-05 Provider Notice - Pharmacy COVID-19 Booster Update
2022-09-30 Provider Notice - New COVID-19 Booster Vaccinations Effective August 31, 2022
2022-09-14 COVID-19 Fee Schedule - UPDATED
2022-09-07 Provider Notice - FY 2023 ARPA Funding to Nursing Facilities
2022-08-26 Provider Notice - Nursing Facilities Billing for Telehealth Originating Site Fee
2022-06-30 IL e14 Waiver Request Letter (pdf)
2022-08-08 Provider Notice - COVID-19 Vaccination and Booster Update
2022-08-08 Provider Notice - Pharmacy COVID-19 Vaccinaton and Booster Update
2022-07-27 Provider Notice - COVID-19 Vaccine Counseling Coverage Updates
2022-07-21 COVID-19 Fee Schedule - UPDATED
2022-07-18 COVID-19 Fee Schedule - UPDATED
2022-07-12 Provider Notice - Medicaid 1135 Alternative Settings Waiver Is Discontinued
2022-07-01 COVID-19 Fee Schedule - UPDATED
2022-06-24 Provide Notice - Emergency Medical Coverage for Persons Not Meeting Immigration Status with COVID-19 Diagnosis
2022-06-24 Provider Notice - Group Care Credit and Additional Clarifications during the Public Health Emergency
2022-06-16 Provider Notice - COVID-19 Pediatric Booster Coverage Effective May 17, 2022
2022-06-01 COVID-19 Fee Schedule - UPDATED
2022-05-23 COVID-19 Fee Schedule - UPDATED
2022-05-03 Approval ARP HCBS Enhanced FMAP Spending Plan IL FY 22 Q3 (pdf)
2022-04-18 COVID-19 Fee Schedule - UPDATED
2022-04-14 Appendix K: Approved Amendment Signed Approval Letter IL 0142, 0202, 0329 (pdf)
2022-02-25 Appendix K: Approved Amendment (pdf)
2022-02-23 COVID-19 Fee Schedule - UPDATED
2022-02-23 Provider Notice - Billing Guidance -- Oral Antivirals for the Treatment of COVID-19
2022-02-16 Approval ARP HCBS Enhanced FMAP Spending Plan
2022-01-27 Appendix K: Approved Amendment (pdf)
2022-01-26 Provider Notice - Emergency Instructions for COVID-19 Home Test Kits
2022-01-12 Provider Notice - Pharmacy Instructions for COVID-19 Vaccine for Children Ages 5-11
2022-01-11 Provider Notice - Pharmacy Billing of Subcutaneous Monoclonal Antibody Treatment
2021-12-29 COVID-19 Fee Schedule - UPDATED
2021-12-09 Appendix K: Approved Amendment (pdf)
2021-12-09 Appendix K: Approved Amendment Signed Approval Letter IL 0326 (pdf)
2021-11-02 Appendix K: Approved Amendment Signed Approval Letter IL 0142 (pdf)
2021-11-18 Provider Notice - Instructions for COVID-19 Vaccine for Children Ages 5-11 Years
2021-11-18 Provider Notice - COVID-19: Children Age 5-11 Vaccination Coverage; Vaccine Counseling Coverage; and Vaccine Additional Dose and Booster Dose Clarification
2021-11-18 COVID-19 Fee Schedule - UPDATED
2021-10-14 Provider Notice - Instructions for COVID-19 Vaccine Additional Dose and Booster Dose
2021-10-14 Provider Notice - HFS COVID Portal for the Uninsured Update: Requirements for Claim Submissions and RIN Requests
2021-10-07 ARPA HCBS Spending Plan Partial Approval
2021-10-04 COVID-19 Fee Schedule - UPDATED
2021-09-09 Provider Notice - Updates: Procedure Code M0201 – Add-On for In-Home COVID-19 Vaccination; Administration of 3rd COVID-19 Vaccine
2021-09-01 Provider Notice - Use of Modifier GT and Place of Service Code 02 to Specify Telehealth Delivery Mode for Behavioral Health Services Effective October 1, 2021
2021-09-01 COVID-19 Fee Schedule - UPDATED
2021-08-31 Provider Notice - Fiscal Year 2022 ARPA Funding to Nursing Facilities - Revised as of 08/31/2021
2021-08-20 COVID-19 Fee Schedule - UPDATED
2021-07-16 Illinois APR HCBS Enhanced FMAP Initial Spending Plan and Narrative
2021-07-09 COVID-19 Fee Schedule - UPDATED
2021-07-02 Provider Notice - Update to COVID-19 Vaccine Administration Coding and Reimbursement Effective June 8, 2021 - Add-on for In-Home Vaccinations of Certain Medicaid Customers
2021-06-10 COVID-19 Fee Schedule - UPDATED
2021-05-19 COVID-19 Fee Schedule - UPDATED
2021-05-14 Provider Notice - All Kids School Dental Program Update
2021-05-07 COVID-19 Fee Schedule - UPDATED
2021-04-26 Provider Notice - Updated Family Support Program COVID-19 Guidance
2021-04-12 Provider Notice - HFS CARES Program Reporting Deadline Final Reminder
2021-04-08 Provider Notice - COVID-19 Vaccine Administration Performed in Hospital-Based Outpatient Settings
2021-03-30 Provider Notice - COVID-19 Vaccine Administration Rate Increase
2021-03-26 COVID-19 Fee Schedule - UPDATED
2021-03-19 Resumption of Timely Filing Editing May 1, 2021
2021-03-15 COVID-19 Vaccine Administration – Free to Medical Assistance Program Participants and the Uninsured
2021-03-03 COVID-19 Fee Schedule - UPDATED
2021-03-01 COVID-19 Fee Schedule - UPDATED
2021-02-26 Provider Notice - Update to COVID-19 Diagnostic Testing Codes and Rates Effective March 1, 2021
2021-02-25 Provider Notice - Repricing Hospital Outpatient Claims Billed with COVID-19 Diagnosis and Procedure Codes
2021-02-08 Provider Notice - COVID-19 Vaccine Administration Billing for the Illinois Medicaid Pharmacy Benefits Manager System and the Federal HRSA COVID-19 Reimbursement Program for the Uninsured
2021-02-08 Provider Notice - Lab Testing and Claims Submittal Related to COVID-19 – Launch of HFS COVID Portal
2021-02-08 COVID-19 Fee Schedule- UPDATED
2021-02-04 Appendix K: Approved Amendment
2021-02-04 Appendix K: Approved Amendment Signed Approval Letter
2021-01-28 COVID-19 Fee Schedule - UPDATED
2021-01-15 Provider Notice - HFS CARES Program Reporting Deadline Extension
2021-01-12 Provider Notice - All Kids School Dental Program Update
2021-01-08 Provider Notice - Correction to Previous Billing Guidance for COVID-19 Specimen Collection Code 99000
2021-01-07 Provider Notice - COVID-19 Vaccine and Vaccine Administration Billing Information for Practitioners
2021-01-07 Provider Notice - COVID-19 Vaccination Administration Billing for Pharmacies
2021-01-06 COVID-19 Fee Schedule- UPDATED
2020-12-18 Provider Notice - COVID-19 Treatment and Testing Billing Guidance for Uninsured and Insured Patients
2020-12-08 Provider Notice - HFS Procedure for Rate Determination and Claim Processing as New COVID-19 Testing Codes are Released
2020-12-04 COVID-19 Fee Schedule- UPDATED
2020-11-06 Provider Notice - HFS CARES Portal is Open for Dental Provider Applications
2020-10-23 Provider Notice - Calling for CARES Payment Applications
2020-10-13 Provider Notice - Change in Billing Instructions for COVID-19 Related Long Term Acute Care Hospital Claims for Certain Non-Citizens
2020-10-09 Provider Notice - CARES Act Coronavirus Relief Fund Budget Guidance and Instructions
2020-09-29 Provider Notice - HFS CARES Portal is Open for Funding Applications
2020-09-28 Provider Notice - CARES Act Funding – Round 1 Distribution to LTC Providers
2020-09-25 Provider Notice - COVID-19 Emergency-Related Delays in Spectacle Fabrication
2020-09-25 Provider Notice - Lab Testing and Claims Submittal Related to COVID-19
2020-09-18 Provider Notice - Lab Testing and Claim Submittal for Individuals in a Long-Term Care Facility
2020-09-15 Provider Notice - First Round Distribution of Coronavirus Aid, Relief, and Economic Security (CARES) Act Funds Appropriated by the Illinois General Assembly
2020-09-14 COVID-19 Fee Schedule--UPDATED
2020-09-02 Provider Notice - Time Sensitive Update – Federal Provider Relief Fund Payments for Medicaid and CHIP Providers
2020-08-31 Appendix K: Approved Amendment
2020-08-31 Appendix K: Approved Amendment Signed Approval Letter
2020-08-19 Provider Notice - Long Term Acute Care Hospital Coverage for Certain Non-Citizens
2020-08-11 Provider Notice - Repricing Hospital Outpatient Claims Billed with COVID-19 Diagnosis and Procedure Codes
2020-08-06 Provider Notice - All Kids School Dental Program
2020-08-04 Provider Notice - Updated: Deadline Extension for Federal Provider Relief Fund Payment Update for Medicaid and CHIP Providers
2020-08-04 Approved CHIP Disaster Relief SPA - 20-0006
2020-07-23 Provider Notice - Deadline Extension: Federal Provider Relief Fund Payment Update for Medicaid and CHIP Providers
2020-07-23 COVID-19 Fee Schedule--UPDATED
2020-07-17 Provider Notice - Lab Testing and Claim Submittal Related to COVID-19
2020-07-13 Provider Notice - Charging Participants for Personal Protective Equipment
2020-07-08 Provider Notice - Resumption of NPI Editing for Ordering/Referring/Prescribing Providers
2020-07-07 Provider Notice - Federal Provider Relief Fund Payment Update for Medicaid and CHIP Providers
2020-07-01 Provider Notice - Blood Pressure Monitoring Kit
2020-06-15 Provider Notice - Temporary Dental Prior Approval Requirement Change Related to the COVID-19 Public Health Emergency
2020-06-12 Provider Notice - Federal Provider Relief Fund Payments for Medicaid and CHIP Providers and Safety Net Hospitals, and Data Request for Second Round of COVID-19 Hotspot Funding for All Hospitals
2020-05-29 Provider Notice - Managed Care Plan Rate Increase for Behavioral Health Services
2020-05-22 Provider Notice - Use of Condition Code DR for Institutional Claims – COVID-19
2020-05-22 Provider Notice - Spectacle Fabrication Resuming at Dixon Correctional Facility
2020-05-21 COVID-19 Virtual Healthcare Expansion Billing Codes - UPDATED
2020-05-20 Provider Notice - Pharmacy – 90-Day Supply and Over-the-Counter Covered Products
2020-05-20 Drugs Covered in 90-Day Supplies During the COVID-19 Emergency
2020-05-20 Provider Notice - Billing Procedures for Fee-For-Service Reimbursement and Telehealth Billing Clarification
2020-05-20 FAQs for Illinois Medicaid Virtual Healthcare Expansion/Telehealth Emergency Rules UPDATED
2020-05-18 Provider Notice - COVID-19 Testing is Free to Illinois Residents
2020-05-18 Provider Notice - Additional Detail Regarding Temporary Prior Approval Requirement Changes Related to the COVID-19 Public Health Emergency
2020-05-18 Provider Notice - Update: New and Revised Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care Services
2020-05-12 Appendix K Approved Amendment
2020-05-12 Appendix K Approval Letter
2020-05-05 Provider Notice - Teledentistry Services Prompted by COVID-19
2020-05-04 Provider Notice - Delay in Implementing In-Home Shift Nursing Hour Reductions During the COVID-19 Public Health Emergency
2020-05-01 Provider Notice - Extension of the Temporary Rate Increase during COVID-19 Pandemic and Continuation of Day Services Billing
2020-04-28 Title XIX Disaster Relief SPA Approved
2020-04-23 Provider Notice - Temporary Guidelines to allow designated Assisters to assist clients telephonically during the COVID-19 emergency
2020-04-21 Provider Notice - Mobile Crisis Response Services Update – COVID-19
2020-04-14 Provider Notice - Coronavirus Aid, Relief, and Economic Security (CARES) Act for Long Term Care Residents and Pandemic Unemployment Compensation
2020-04-14 Provider Notice - Case Management – Mental Health – COVID-19 Guidance
2020-04-14 New Statewide Telehealth Programs Announcement
2020-04-10 Provider Notice - Family Support Program – COVID-19 Guidance
2020-04-08 Provider Notice - Federally Qualified Health Center (FQHC) Short Term Advance Payments under the Medicaid Managed Care Program
2020-04-08 Provider Notice - COVID-19 Emergency-Related Delays in Spectacle Fabrication
2020-04-08 Provider Notice - Temporary Transportation Prior Approval Requirement Changes due to COVID-19
2020-04-08 Client Notice - How to Apply for Medicaid: Important COVID-19 Information
2020-04-07 Provider Notice - Applying for Medicaid and other Medical Programs During the COVID-19 Emergency
2020-04-06 Provider Notice - Temporary Prior Authorization Requirement Changes Related to COVID-19 Public Health Emergency
2020-03-30 Provider Notice - Telehealth Expansion Billing Instructions
2020-03-30 Provider Notice - Temporary Rate Increase during COVID-19 Pandemic and Day Services Billing
2020-03-30 Provider Notice - Pharmacy - Temporary COVID-19 Billing Policies
2020-03-27 Illinois Home and Community-Based Waiver Appendix K Submission (pdf)
2020-03-27 Illinois Medicaid & CHIP Eligibility Changes and Requests to Address COVID-19 Fact Sheet (pdf)
2020-03-27 Partial Approval Illinois Section 1135 Waiver (pdf)
2020-03-27 COVID-19 Fraud Alert
2020-03-27 Illinois Section 1115 Waiver Request (pdf)
2020-03-27 1115 Waiver Request Fact Sheet (pdf)
2020-03-23 Provider Notice - Extension in Due Date for Payment of the March 2020 Hospital Assessment
2020-03-23 Provider Notice - SASS Youth Psychiatric Hospitalization – COVID-19 Guidance
2020-03-20 Provider Notice : Provider Enrollment, Billing, and Payment Changes Prompted by COVID-19
2020-03-20 Provider Notice: Telehealth Services Expansion Prompted by COVID-19
2020-03-20 Provider Notice: Temporary PASRR and DON Screening Changes during COVID-19 Pandemic
2020-03-20 Telehealth Emergency Amendments Filed to 89 Ill Admin Code Section 140.403 (pdf)
2020-03-19 Illinois Section 1135 Waiver Request (pdf)
2020-03-19 1135 Waiver Request Fact Sheet (pdf)
2020-03-17 Provider Notice - Mobile Crisis Response Services – COVID-19 Guidance
2020-03-13 Provider Notice - COVID-19 Testing Coverage and Information Sources

Coronavirus (COVID-19) Updates

ARPA Payments Webpage - For information related to the distribution of ARPA funds

CARES Payments Webpage - For information related to the distribution of CARES Act funds

Coronavirus (COVID-19) Updates

Stay Informed

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Coronavirus (COVID-19) Updates

ARPA Payments Webpage - For information related to the distribution of ARPA funds

CARES Payments Webpage - For information related to the distribution of CARES Act funds

Coronavirus (COVID-19) Updates

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