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MedicaidAdministrativeLow impact

Critical Access Pharmacy (CAP) Quarterly Payments

Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

The Illinois Department of Healthcare and Family Services released delayed Critical Access Pharmacy (CAP) quarterly payments for 2023 Q4 and 2024 Q1 due to the Change Healthcare System outage. These payments were estimated and will be reconciled with 2024 Q2 payments once complete data is available.

Action Required

Action needed
No immediate action required for billing teams. This is an informational notice about delayed pharmacy payments that have already been processed. Pharmacies with questions should contact the Bureau of Professional and Ancillary Services at 877-782-5565.

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