MedicaidAdministrativeLow impact
Emergency Instructions for COVID-19 Home Test Kits
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jan 26, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now allows participating pharmacies to prescribe and bill for COVID-19 home test kits (BinaxNOW and Lucira), with coverage up to 8 individual tests per customer per month. Pharmacy providers must contact the Bureau of Professional and Ancillary Services to request NPI overrides to avoid claim rejections.
Action Required
Immediately: Illinois Medicaid participating pharmacies must contact the Bureau of Professional and Ancillary Services at 877-782-5565 to request NPI overrides for all pharmacist NPIs that will prescribe COVID-19 home test kits to avoid claim rejection messages. For managed care plans, contact individual plans for specific billing guidance.