MedicaidReimbursementHigh impact
Immunization Administration Rate Increase to $16.71 Effective July 1, 2022
Illinois Medicaid - HFS·IL · Pediatrics, Family Medicine, General Practice +1 more·Provider Notice
Effective date
Jul 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois increased the vaccine administration fee rate to $16.71 effective July 1, 2022, for both Medicaid fee-for-service and HealthChoice Illinois managed care plans under the Vaccines for Children (VFC) program. This applies to children from birth through 18 years of age and represents an increase from the previous $12.56 rate.
Action Required
Immediately: Billing team must update vaccine administration reimbursement rates to $16.71 for all Medicaid and HealthChoice Illinois managed care plans for patients birth through 18 years old under the VFC program. Update billing system fee schedules and verify claims are processing at the new rate for dates of service July 1, 2022 and forward.