MedicaidCoverageMedium impact
New COVID-19 Booster Vaccinations Effective August 31, 2022
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Aug 31, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now covers new COVID-19 bivalent booster vaccines effective August 31, 2022. Pfizer-BioNTech boosters are available for patients 12+ years old, and Moderna boosters for patients 18+ years old, with updated administration fees on the HFS COVID-19 Fee Schedule.
Action Required
Immediately: Billing team must verify updated HFS COVID-19 Fee Schedule for new bivalent booster administration fees. Update billing system to allow COVID-19 vaccine claims for Pfizer-BioNTech boosters (ages 12+) and Moderna boosters (ages 18+) with dates of service beginning August 31, 2022. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for FFS program questions or applicable HCI MCO for managed care questions.