MedicaidAdministrativeMedium impact
Inpatient Claims Containing LARC Device Codes
Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
Jul 1, 2020
We identified it
Jun 20, 2026
Summary
Hospitals must hold all inpatient fee-for-service Medicaid claims containing LARC (long-acting reversible contraceptive) device codes until system changes are completed. LARC devices should be included on inpatient claims as add-on payments to APR-DRG rates for delivery admissions.
Action Required
Immediately: Hospital billing teams must hold all fee-for-service Medicaid inpatient claims that contain LARC HCPCS codes until notified that system changes are complete. Include LARC device charges on inpatient delivery claims as they will price as add-on amounts to APR-DRG payments. Monitor for notification from HFS.Hospitals@illinois.gov when claims can be submitted.