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MedicaidAdministrativeMedium impact

Managed Care Manual

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 19, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

The Illinois Department of Health and Family Services has issued a new Managed Care Manual specifically for Medicaid providers enrolled in managed care programs. This manual provides guidance for the Medicaid Managed Care Program but does not replace existing fee-for-service policies.

Action Required

Action needed
Immediately: All Medicaid providers enrolled in managed care should obtain and review the new Managed Care Manual from the Illinois Department of Health and Family Services. Use this manual as a reference for Medicaid managed care billing procedures while continuing to follow existing fee-for-service guidelines for traditional Medicaid claims.