MedicaidAdministrativeHigh impact
Cost-Sharing in the Health Benefits for Immigrant Adults and Health Benefits for Immigrant Seniors Programs
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Sep 5, 2023
We identified it
Jun 20, 2026
Summary
Illinois providers must immediately stop charging cost-sharing (co-pays/coinsurance) to Health Benefits for Immigrant Adults (ages 42-64) and Health Benefits for Immigrant Seniors (ages 65+) patients until system programming is complete. Any cost-sharing already collected must be returned to patients.
Action Required
Immediately: Stop charging co-pays and coinsurance to HBIA (ages 42-64) and HBIS (ages 65+) immigrant patients. Billing team must identify any cost-sharing already collected from these patients and return payments to customers. Update billing system to flag these patient populations. Wait for further HFS guidance before implementing any cost-sharing for this population.