MedicaidReimbursementMedium impact
Reimbursement Changes to the Illinois Hemophilia Program
Illinois Medicaid - HFS·IL · Hematology·Provider Notice
Effective date
Sep 1, 2012
We identified it
Jun 20, 2026
Summary
The Illinois Hemophilia Program will no longer reimburse at providers' billed charges starting September 1, 2012, instead using standard Medicaid reimbursement rates. The program also discontinues coverage for primary care visits due to federal waiver cancellation.
Action Required
By September 1, 2012: Billing team must update Illinois Hemophilia Program claims to expect standard Medicaid reimbursement rates instead of billed charges. Stop billing primary care visits for hemophilia patients to this program. Ensure all claims are submitted within 180 days of service date and primary insurance is always billed first.