MedicaidCoverageMedium impact
Reimbursement for Second Postpartum Visit per Public Act 102-0665
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine·Provider Notice
Effective date
Oct 8, 2021
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now covers a second postpartum visit per Public Act 102-0665, allowing providers to bill code 0503F twice during the postpartum period. Coverage includes one visit within 3 weeks of childbirth and a comprehensive visit at 4-12 weeks postpartum.
Action Required
Immediately: Billing team must update system to allow billing code 0503F (Postpartum Care Visit) twice during the postpartum period for Illinois Medicaid patients - once within 3 weeks of childbirth and once at 4-12 weeks postpartum. Update encounter forms and notify providers that both visits are now covered. This change is retroactive to October 8, 2021, so review and resubmit eligible claims from that date forward.