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Administrative Claim Changes Effective April 1, 2009

Illinois Medicaid - HFS·IL · Pediatrics·Provider Notice
Effective date
Apr 1, 2009
We identified it
Jun 21, 2026
Days to comply

Summary

Effective April 1, 2009, Illinois will only accept School-Based Health Services (SBHS) administrative claims through their selected statewide vendor. Local Education Agencies (LEAs) can no longer submit administrative claims directly or through third-party vendors, though fee-for-service claims are unaffected.

Action Required

Action needed
This policy is historical (2009) and does not require current action. If your practice works with Illinois School-Based Health Services administrative claims, verify current submission processes with the Illinois Department of Healthcare and Family Services.