MedicaidCoverageMedium impact
Family Planning and Reproductive Health Services
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, General Practice +1 more·Provider Notice
Effective date
Jun 26, 2014
We identified it
Jun 20, 2026
Summary
Illinois Healthcare and Family Services has updated guidance requiring all enrolled providers to offer comprehensive family planning and reproductive health services with no cost sharing, including contraceptive counseling, LARC devices, STI screening, and related services. Providers must ensure no barriers like prior authorizations delay access to these services.
Action Required
Immediately: Billing team must update systems to ensure no cost sharing is applied to family planning and reproductive health services for Illinois Medicaid patients. Remove any prior authorization requirements for contraceptive services and supplies. Update encounter forms to include comprehensive reproductive health services and ensure providers can bill for counseling, contraceptive devices, STI screening, and related lab work without managed care network restrictions.