MedicaidAdministrativeMedium impact
Cease Hospital Billing on the 837P for COVID-19 Administration Performed in Hospital-Based Outpatient Settings
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jun 1, 2024
We identified it
Jun 20, 2026
Summary
Hospitals must stop billing COVID-19 vaccine administration on the 837P professional claim format and switch to the 837I institutional format for hospital-based outpatient settings. This reverses a temporary policy exception that allowed professional billing during the pandemic.
Action Required
By June 1, 2024: Hospital billing teams must update billing systems to submit all COVID-19 vaccine administration claims for hospital-based outpatient settings on the 837I institutional format instead of 837P professional format. Reference the COVID-19 Fee Schedule for covered procedure codes. Contact hospital billing consultant at 877-782-5565 with questions.