MedicaidAdministrativeMedium impact
Chapter P-200, Handbook for Providers of Pharmacy Services Refills
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Oct 9, 2014
We identified it
Jun 20, 2026
Summary
Pharmacy providers must now verify that prescription refill requests come from the physician, participant, or participant's representative before dispensing. Services provided to deceased recipients may be subject to recoupment.
Action Required
Immediately: Pharmacy staff must implement verification procedures to confirm all prescription refill requests are authorized by physician, patient, or patient representative before dispensing. Update pharmacy protocols to include verification step. Ensure no services are provided to deceased recipients to avoid recoupment.