Skip to main content

Possible online services disruption due to Internet related outage

A worldwide technology outage is causing disruption to some State of Illinois online systems.  We are aware of this issue and are diligently working on restoration.

Elizabeth M. Whitehorn, Director

Provider Notice issued 12/18/2023

 

To: ​ Enrolled Pharmacies
​Date: ​December 18, 2023
​Re: Over-the-Counter Birth Control

The Department of Healthcare and Family Services (HFS) continues to prepare for the release of the new over-the-counter (OTC) birth control pill, Opill, which is anticipated in early 2024. Opill will be covered by HFS under both the fee-for-service (FFS) program and managed care organizations (MCOs) without a prescription for women aged 18 years and older.

HFS requires pharmacies to submit all claims, including those for OTC medications,  with a prescriber National Provider Identifier (NPI) in the Prescriber ID field (411-DB). For Opill, pharmacies may bill using the Illinois Department of Public Health standing order prescriber NPI for hormonal contraceptives.

Questions regarding this notice may be directed to a pharmacy consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 for FFS claims, or the appropriate MCO.

 

Kelly Cunningham, Administrator
Division of Medical Programs