MedicaidBilling CodesMedium impact
Fee-for-Service Billing for Intrauterine Devices (IUDs) and Implantable Contraceptives
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine·Provider Notice
Effective date
Jul 1, 2013
We identified it
Jun 20, 2026
Summary
Illinois allows Federally Qualified Health Centers (FQHCs) and Rural Health Clinics (RHCs) to bill fee-for-service for IUDs and implantable contraceptives, with reimbursement at actual acquisition cost or department fee schedule rates. This billing is separate from encounter payments for the insertion procedure.
Action Required
For Illinois FQHC/RHC practices only: Update billing procedures to bill IUDs and implantable contraceptives at actual acquisition cost (if purchased under 340B program) or department fee schedule rates. Ensure FQHC/RHC is listed as payee on claims and bill separately from insertion procedure encounter payments. Contact Bureau of Comprehensive Health Services at 1-877-782-5565 with questions.