MedicaidAdministrativeMedium impact
Introducing the ILLINOIS Rx Portal Website
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jan 1, 2017
We identified it
Jun 20, 2026
Summary
Illinois is launching the ILLINOIS Rx Portal website to support a new Pharmacy Benefits Management System (PBMS) going online in 2017. The portal allows providers to submit prior authorizations, check eligibility, access formularies, and submit non-Point of Sale claims for Medicaid fee-for-service patients.
Action Required
Before 2017: Billing team and providers should visit the ILLINOIS Rx Portal website to register for the new system and complete available training webinars. Pharmacy staff must prepare to use the portal for prior authorization requests, eligibility verification, and non-POS claims submission for Medicaid fee-for-service patients. Monitor the Provider notices website for system updates as launch approaches.