MedicaidReimbursementHigh impact
Immunization Administration Rate Increase Effective January 1, 2022 Per Public Act 102-0043
Illinois Medicaid - HFS·IL · Pediatrics, Family Medicine, General Practice +1 more·Provider Notice
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois increased VFC vaccine administration fees to $12.56 effective January 1, 2022, per Public Act 102-0043. This affects 39 immunization administration codes for Medicaid fee-for-service and HealthChoice Illinois managed care plans for children birth through 17 years.
Action Required
Immediately: Billing team must update fee schedules in billing software to reflect new VFC vaccine administration rate of $12.56 for all listed immunization codes when billing Illinois Medicaid and HealthChoice Illinois plans for pediatric patients. Note that fee-for-service claims may be held pending CMS approval. Contact 877-782-5565 for billing questions.