MedicaidAdministrativeHigh impact
COVID-19 Disaster State Plan Amendment Services Impacted by the End of the Public Health Emergency
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 12, 2023
We identified it
Jun 20, 2026
Summary
COVID-19 public health emergency flexibilities ended May 11, 2023, with some exceptions. Key changes include return to normal prior authorization requirements, end of prescription signature waivers, and elimination of enhanced COVID facility rates. However, telehealth flexibilities and COVID-related services at Medicare rates continue through May 11, 2024.
Action Required
Effective May 12, 2023: Billing team must resume normal prior authorization processes - no more automatic renewals without clinical review. Reinstate prescription signature requirements. Stop billing enhanced COVID facility rates ($350/day isolation, $620/day ventilator). Continue billing telehealth services and COVID-related testing/vaccination at Medicare rates through May 11, 2024. Update billing systems to reflect these changes immediately.