MedicaidReimbursementHigh impact
Increased Payment for Primary Care Services
Illinois Medicaid - HFS·IL · Family Medicine, Internal Medicine, Pediatrics·Provider Notice
Effective date
Jan 1, 2013
We identified it
Jun 20, 2026
Summary
Illinois is implementing ACA provisions for increased Medicaid payments to qualified primary care providers for E&M services and vaccine administration from January 1, 2013 through December 31, 2014. Providers must submit attestation forms to receive enhanced Medicare-level reimbursement rates.
Action Required
By June 30, 2013: Eligible primary care physicians (family medicine, internal medicine, pediatrics) must complete and submit Form HFS 2352 with attestation documentation to Healthcare & Family Services Provider Participation Unit at P.O. Box 19114, Springfield, Illinois 62794-9114. Board-certified physicians must include copy of current board certification. Non-board-certified physicians must demonstrate 60% of billings are E&M and vaccine codes. Forms received by June 30, 2013 receive retroactive payment to January 1, 2013; later submissions receive payment from receipt date only.