MedicaidReimbursementMedium impact
Vaccines for Children (VFC) Program Transition – Billing 317-Funded Vaccines
Illinois Medicaid - HFS·IL · Family Medicine, Pediatrics, General Practice·Provider Notice
Effective date
Oct 14, 2016
We identified it
Jun 20, 2026
Summary
Illinois VFC providers can order 317-funded vaccines through November 26, 2016, with specific billing requirements: charge HFS $6.40 per vaccine-specific procedure code for IDPH vaccines, usual charges for private stock vaccines. Medicaid managed care organizations have separate billing policies that providers must contact directly.
Action Required
Through November 26, 2016: Illinois VFC providers must charge HFS $6.40 for each vaccine-specific procedure code when using IDPH 317-funded vaccines, and usual customary charges for private stock vaccines. Contact individual Medicaid managed care plans for their specific billing policies. Maintain appropriate documentation for potential audits.