MedicaidPrior AuthMedium impact
Practitioners - No Prior Approval for Drug Items During Change Healthcare Outage – Fee-for-Service Program Only
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Mar 6, 2024
We identified it
Jun 20, 2026
Summary
Due to the Change Healthcare cyber security breach, Illinois Medicaid (HFS) is temporarily suspending prior authorization requirements for practitioner-administered drugs. Providers can submit claims without prior approval for affected dates of service and claims will not be rejected for missing prior auth.
Action Required
Immediately: Billing team can submit claims for practitioner-administered drugs that normally require prior authorization without obtaining prior approval for dates of service during the Change Healthcare outage. Monitor provider notices daily at HFS website for updates on when prior authorization requirements will resume. No system changes needed during outage period.