MedicaidAdministrativeHigh impact
Critical Access Pharmacy (CAP) Timely Attestation for Quarterly Payments for Managed Care Services
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Feb 2, 2021
We identified it
Jun 20, 2026
Summary
Critical Access Pharmacies in Illinois must self-attest to meeting CAP criteria within 30 days after each quarter ends to receive quarterly payments from the Department. Pharmacies that fail to attest timely will not receive quarterly reimbursements from managed care services.
Action Required
Within 30 days after each quarter ends: Critical Access Pharmacies must self-attest to meeting CAP criteria using the Department's MEDI site. Pharmacy staff should set quarterly calendar reminders and complete attestation promptly. Failure to attest within the 30-day window will result in loss of quarterly payment eligibility with no ability to retroactively attest.