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MedicaidReimbursementMedium impact

Inpatient Delivery Claims Containing LARC Device Codes

Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply
—

Summary

A system issue is preventing inpatient delivery claims that group to APR-DRG 560 from receiving required LARC (Long Acting Reversible Contraceptive) add-on payments when LARC procedure codes are included. Claims grouping to other APR-DRGs are still receiving the add-on payment correctly.

Action Required

Action needed
Immediately: Billing team should monitor inpatient delivery claims with LARC procedure codes that group to APR-DRG 560 for missing add-on payments. Continue billing LARC procedure codes as instructed - do not stop using them. Track affected claims for potential reprocessing once the system issue is resolved. Contact hospital billing consultant at 877-782-5565 with questions.

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