MedicaidCoverageMedium impact
Postpartum Visits and Perinatal Care Transitions
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine·Provider Notice
Effective date
Sep 29, 2015
We identified it
Jun 20, 2026
Summary
Illinois HFS issued guidance on postpartum visit billing and care transitions, emphasizing the importance of scheduling postpartum visits before hospital discharge and ensuring proper care coordination. The policy allows reimbursement for one comprehensive postpartum visit with additional visits payable when appropriately coded and documented.
Action Required
Immediately: Review postpartum billing procedures to ensure comprehensive postpartum visits are properly coded and documented. Ensure additional postpartum visits beyond the routine visit have appropriate coding and documentation to support reimbursement. Coordinate with clinical staff to confirm postpartum appointments are scheduled before hospital discharge as required by policy.