MedicaidReimbursementHigh impact
Physician Services Rate Update Effective for Dates of Service on and after July 1, 2020
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is updating physician services reimbursement rates to 60% of Medicare rates effective July 1, 2020, for physicians, advanced practice nurses, and physician assistants. Claims affected by these rate updates are temporarily on hold until the reimbursement system is updated.
Action Required
Immediately: Monitor for email notification when new rates are added to the Practitioner Fee Schedule. Billing team should review claims on hold and be prepared to reprocess once system updates are complete. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for questions about fee-for-service claims or applicable managed care plan for other inquiries.