MedicaidReimbursementMedium impact
Participant Co-payments Effective July 1, 2012
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Effective July 1, 2012, Medicaid co-payments for prescription drugs increased: brand name drugs from $3 to $3.65, generic drugs from $0 to $2, and over-the-counter drugs from $0 to $3.65. Exempt patients (pregnant women, children) remain exempt from co-payments.
Action Required
By July 1, 2012: Billing team must update patient collection procedures to reflect new Medicaid co-payment amounts. Update front desk staff training on new co-payment structure: $3.65 for brand name prescriptions, $2 for generic prescriptions, and $3.65 for over-the-counter drugs. Verify exempt patient status (pregnant women, children) before collecting co-payments.