MedicaidCoverageHigh impact
Vaccines For Children (VFC) Program Changes Effective October 1, 2016
Illinois Medicaid - HFS·IL · Pediatrics, Family Medicine, General Practice·Provider Notice
Effective date
Oct 1, 2016
We identified it
Jun 20, 2026
Summary
Starting October 1, 2016, children with Illinois Title XXI and State-Funded All Kids eligibility are no longer eligible for free VFC vaccines and must have vaccines privately purchased by providers. Providers must verify eligibility status and bill HFS or MCOs directly for vaccine reimbursement instead of using the federal VFC program.
Action Required
Effective October 1, 2016: Billing team must verify All Kids eligibility status using HFS MEDI system or 270/271 transactions before administering vaccines. For Title XXI and State-Funded All Kids patients, privately purchase vaccines and bill HFS fee-for-service or MCOs directly for reimbursement instead of using VFC program. Update workflow to check Loop 2110C, MSG01 for Title information in eligibility responses.