Traditional MedicareAdministrativeMedium impact
Medicare Part D Co-Pays for SLF and CILA Residents
Illinois Medicaid - HFS·IL · Pharmacy·Provider Notice
Effective date
Jan 1, 2006
We identified it
Jun 21, 2026
Summary
Illinois will cover Medicare Part D co-pays for dual eligible residents of SLF and CILA facilities. Until new programming is implemented, pharmacies must submit invoices with backup claims data for co-pay reimbursement through an interim system.
Action Required
Immediately: Pharmacies serving dual eligible residents in SLF and CILA facilities must prepare to submit periodic invoices for Medicare Part D co-pays along with backup claims data. Work with Illinois HFS to establish interim billing procedures until NCPDP 5.1 co-pay only billing system is implemented.