MedicaidAdministrativeMedium impact
UPDATE: New Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care Services
Illinois Medicaid - HFS·IL · Pediatrics, Psychiatry, OB-GYN +2 more·Provider Notice
Effective date
Nov 7, 2019
We identified it
Jun 20, 2026
Summary
Illinois has published new sections of the Comprehensive Billing Guide for Medicaid Managed Care Organizations (MCOs), adding billing requirements for hospice, FQHCs, pediatric services, behavioral health, and reproductive health services. The guide also updated sections on inpatient hospital billing and claims disposition to provide standardized billing information across all Illinois Medicaid MCOs.
Action Required
Immediately: Billing teams contracting with Illinois Medicaid MCOs should review the updated Comprehensive Billing Guide on the IAMHP website, focusing on newly published sections for hospice, FQHCs/RHCs, pediatric services, community behavioral health, and tubal ligation/hysterectomy services. Update internal billing procedures to align with standardized MCO requirements. Contact IAMHP for questions about billing requirements or Bureau of Managed Care at 217-524-7478 for policy questions.