Traditional MedicareAdministrativeMedium impact
Flu Vaccine-Final Reminder
Illinois Medicaid - HFS·IL · Geriatrics, Pharmacy·Provider Notice
Effective date
Jan 31, 2006
We identified it
Jun 21, 2026
Summary
Long term care facilities must now obtain influenza vaccines directly for all residents instead of receiving them from the department. For Medicaid residents without Medicare Part B, pharmacies will bill Medicaid directly, but facilities must purchase vaccines for Medicare Part B residents and bill Medicare themselves.
Action Required
By January 31, 2006: Long term care facilities must contact vaccine suppliers to pre-book influenza vaccine orders for all residents. Billing teams must ensure facilities obtain physician orders before vaccine administration and verify insurance coverage - bill Medicaid through supplying pharmacy for Medicaid-only residents, but purchase vaccines directly and bill Medicare for residents with Medicare Part B coverage.