MedicaidReimbursementMedium impact
Follow-up to Maternity Codes Rate Increases per Public Act 102-1037 and Bonus Payments for Certain Postpartum Visits Effective January 1, 2023
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine·Provider Notice
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has received federal approval for higher maternity code reimbursement rates and bonus payments for timely postpartum visits, effective January 1, 2023. Providers must submit replacement claims for services billed before February 21, 2023, to receive the higher rates and bonus payments.
Action Required
By January 12, 2025 (one year from original paid voucher date): Billing team must submit FFS replacement claims for all maternity services with dates of service from January 1, 2023, that were billed prior to February 21, 2023, and meet bonus payment requirements. Use Chapter 300 Companion Guide for 837P transactions for replacement claim instructions. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for FFS questions or applicable HCI MCO for managed care questions.