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MedicaidAdministrativeMedium impact

Inpatient Claims Containing LARC Device Codes May Now be Submitted

Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
Oct 15, 2020
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois hospitals can now submit inpatient claims containing LARC (long-acting reversible contraceptive) device codes that were previously held since July 1, 2020. System changes have been completed to allow LARC devices to be priced as an add-on amount to APR-DRG payments for inpatient deliveries.

Action Required

Action needed
Immediately: Illinois hospitals should submit all previously held inpatient claims with discharges beginning July 1, 2020 that contain LARC device codes. Review claim hold queues and resubmit eligible claims. Contact hospital billing consultant at 877-782-5565 with questions.