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Notice of Privacy Incident
We are offering two in-person Healthchoice Illinois Listening Sessions allow you the opportunity to talk about your experiences with HealthChoice Illinois managed care. Please be sure to register for one of these important events.

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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