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Cost Sharing Adjustments

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Aug 20, 2014
We identified it
Jun 20, 2026
Days to comply

Summary

The Illinois Department of Health and Family Services is processing copayment adjustments for All Kids Share and All Kids Assist participants for services from 2012-2013. Providers who collected copayments must refund the adjustment amounts to patients.

Action Required

Action needed
When copayment adjustments are received (identified by reason codes 3535, 3223, or 8730 on remittance advice): Billing team must review original claims and refund adjustment amounts to patients if copayments were collected. No action required if copayments were not collected from patients.