MedicaidAdministrativeMedium impact
Auto Refills
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 1, 2013
We identified it
Jun 20, 2026
Summary
Effective May 1, 2013, automatic prescription refills by pharmacies are no longer allowed for Medicaid patients. All prescription refills must be initiated by a specific request from the prescriber, patient, or authorized agent, and claims for auto-refilled prescriptions will not be reimbursed and are subject to recovery.
Action Required
Immediately: Billing team must verify that all prescription refill claims are initiated by proper requests from prescribers, patients, or authorized agents before submitting to Medicaid. Coordinate with affiliated pharmacies to ensure they understand auto refills are not reimbursable. Review any rejected pharmacy claims for potential auto-refill issues. Contact Bureau of Pharmacy Services at 1-877-782-5565, Option 7 with questions.