MedicaidReimbursementMedium impact
Immunization Administration Rate Increase Effective January 1, 2022 Per Public Act 102-0043
Illinois Medicaid - HFS·IL · Family Medicine, Pediatrics, General Practice +1 more·Provider Notice
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid increased vaccine administration fees to $12.56 for children birth through age 18 under the Vaccines for Children program, effective January 1, 2022. This affects 39 specific immunization administration codes for both Medicaid fee-for-service and HealthChoice Illinois managed care plans.
Action Required
Immediately: Billing team must update fee schedules in billing system to reflect new $12.56 rate for all listed immunization administration codes when billing Illinois Medicaid and HealthChoice Illinois for patients birth through age 18. Note that fee-for-service claims from January 1, 2022 forward will be held pending CMS approval, while managed care plans can process immediately.