MedicaidReimbursementHigh impact
Reimbursement Rate Reductions Effective May 1, 2015 through June 30, 2015
Illinois Medicaid - HFS·IL · Optometry·Provider Notice
Effective date
May 1, 2015
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is reducing reimbursement rates by 16.75% for optometry and optical services from May 1, 2015 through June 30, 2015. Providers should continue billing usual and customary charges, but payments will be automatically reduced.
Action Required
Immediately: Optometry billing teams must review the revised fee schedule posted on the HFS website to understand the 16.75% payment reduction. Continue billing usual and customary charges as normal - the system will automatically apply the reduction. For MCO/MCCN contracted services, refer to specific contract terms instead of this reduction.