MedicaidAdministrativeHigh impact
Change Healthcare - Claims Processing Restored
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Mar 23, 2024
We identified it
Jun 20, 2026
Summary
Change Healthcare's claims processing system has been restored as of March 23, 2024, following a nationwide outage that began February 21, 2024. Illinois Medicaid pharmacies can now resume normal claims processing with no daily submission limits, and prior authorization edits remain suppressed during the restoration period.
Action Required
Immediately: Resume processing all claims and submit claims for drugs dispensed during the February 21 - March 23 outage period. Reimburse any Illinois Medicaid customers who were charged for prescriptions during this period. Continue checking eligibility via MEDI, AVRS, or REV System. Contact Pharmacy Billing Consultant Hotline at 877-782-5565 Option 7 for submission questions or email HFS.PhcyBillingMAC@illinois.gov for direct billing consultant appointments.