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MedicaidBilling CodesMedium impact

Changes to Claim Submittal Process and Rates for Abortion Procedures

Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine·Provider Notice
Effective date
Nov 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid is eliminating the HFS 2390 form and requiring electronic submission for all abortion procedure claims. The policy also updates procedure codes and establishes global reimbursement rates for medication-assisted and surgical abortion services.

Action Required

Action needed
Immediately: Stop using HFS 2390 forms and switch to electronic claim submission for all abortion procedures. By December 1, 2019: Replace procedure code H0033 with S0199 for medication-assisted abortions and update billing system with new global rates ($465 for S0199, $660 for 59840, $1,600 for 59841). Submit all abortion claims directly to Illinois Medicaid, not managed care plans.

Affected Billing Codes

H0033
S0199
S0190
S0191
59840
59841