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MedicaidReimbursementMedium impact

Update to Inpatient Delivery Claims Containing LARC Device Codes

Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
Feb 25, 2021
We identified it
Jun 20, 2026
Days to comply

Summary

A system issue preventing LARC device add-on payments for APR-DRG 560 inpatient delivery claims has been resolved as of February 25, 2021. Providers must void and rebill any previously submitted claims that did not receive the proper LARC device add-on payment.

Action Required

Action needed
Immediately: Review all inpatient delivery claims with LARC device codes that grouped to APR-DRG 560 submitted before February 25, 2021. Void and rebill any claims that did not receive the LARC device add-on payment. For managed care claims, contact the individual HealthChoice Illinois managed care plan for specific rebilling guidance. Questions can be directed to hospital billing consultants at 877-782-5565.