MedicaidAdministrativeMedium impact
Respiratory Syncytial Virus (RSV) Prevention: Beyfortus and Synagis
Illinois Medicaid - HFS·IL · Pediatrics, Family Medicine, General Practice·Provider Notice
Effective date
Nov 1, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now allows administration fees for Beyfortus (RSV prevention) obtained through the VFC program for neonates and infants. Providers must enroll in VFC to qualify for the administration fee and must document maternal Abrysvo vaccination status before administering Beyfortus or Synagis.
Action Required
By November 1, 2024: Providers caring for infants should enroll in the VFC program to access Beyfortus with administration fees. Update documentation protocols to verify and record maternal Abrysvo RSV vaccination status (received 14+ days before delivery during 32-36 weeks pregnancy) before administering Beyfortus or Synagis to infants under 6 months. Contact pharmacy consultant at 877-782-5565 for FFS billing questions.