MedicaidAdministrativeMedium impact
UPDATE: New Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care Services
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, General Practice·Provider Notice
Effective date
Feb 9, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid Managed Care Organizations released Version 30 of their Comprehensive Billing Guide with updates to provider registration requirements, claim form elements, and specific guidance for maternity billing across FQHCs, RHCs, ERCs, inpatient services, and professional services. The guide also includes updated plan-specific guidance for Third Party Liability (TPL) coverage termination scenarios.
Action Required
Immediately: Billing team should review Version 30 of the IAMHP Comprehensive Billing Manual at https://www.iamhp.org/providers to understand updated provider registration requirements, claim form elements, and maternity billing guidance. Update billing procedures for FQHCs, RHCs, ERCs, inpatient interim claims, and professional services maternity billing to align with new requirements. Review Appendix L for plan-specific TPL coverage termination guidance.