MedicaidReimbursementHigh impact
Reimbursement Rate Reductions Effective May 1, 2015 through June 30, 2015
Illinois Medicaid - HFS·IL · Emergency Medicine·Provider Notice
Effective date
May 1, 2015
We identified it
Jun 20, 2026
Summary
Ambulance service reimbursement rates are being reduced by 16.75% for both ground and air emergency and non-emergency services from May 1, 2015 through June 30, 2015 due to Illinois state legislation. This temporary reduction applies to fee-for-service Medicaid claims only, not managed care contracts.
Action Required
Immediately through June 30, 2015: Billing team must expect 16.75% reduced reimbursement on all ambulance service claims for Illinois Medicaid fee-for-service patients. Review the revised fee schedule posted on the HFS website. Continue billing usual and customary charges as normal - the reduction will be applied automatically by the payer. For managed care contracts, refer to individual contract terms instead of this reduction.