MedicaidReimbursementMedium impact
Vaccines for Children (VFC) program - Private Stock Vaccines (Title XXI)
Illinois Medicaid - HFS·IL · Family Medicine, Pediatrics, General Practice·Provider Notice
Effective date
Oct 1, 2016
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is providing an additional $6.40 reimbursement for private stock vaccines administered to Title XXI and State-Funded eligible children through June 30, 2017. Providers must add $6.40 to their usual charges for vaccine procedure codes when billing these specific patient populations.
Action Required
Immediately: Billing team must add $6.40 to usual and customary charge amounts for all vaccine-specific procedure codes when administered to Title XXI and State-Funded eligible children through June 30, 2017. Update billing system rules for Illinois Medicaid fee-for-service claims. Do not initiate adjustments for claims already billed - the Department will automatically process adjustments for dates of service beginning October 1, 2016.