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Reimbursement Rate Reductions Effective May 1, 2015 through June 30, 2015

Illinois Medicaid - HFS·IL · OB-GYN, Emergency Medicine·Provider Notice
Effective date
May 1, 2015
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid is reducing reimbursement rates by 16.75% for birth centers, hospital-billed durable medical equipment, ambulance services, and reducing dispensing fees by $1.00 for services from May 1 through June 30, 2015. This temporary reduction applies only to fee-for-service Medicaid claims.

Action Required

Action needed
Effective May 1, 2015: Billing team must expect 16.75% reduced payments from Illinois Medicaid for birth center services, hospital-billed DME, emergency and non-emergency ambulance services, and $1.00 reduction in dispensing fees through June 30, 2015. Review revised fee schedule on HFS website. Continue billing usual and customary charges - reduction will be applied by payer. This affects only fee-for-service Medicaid, not MCO contracts.