MedicaidAdministrativeMedium impact
Flu Vaccine
Illinois Medicaid - HFS·IL · Geriatrics, Pharmacy·Provider Notice
Effective date
Jan 1, 2006
We identified it
Jun 21, 2026
Summary
Long-term care facilities are now responsible for obtaining influenza vaccines directly for the 2006 flu season, rather than receiving them from the department. Medicaid billing procedures differ based on whether residents have Medicare Part B coverage.
Action Required
Long-term care facilities must establish new vaccine procurement processes with pharmacies for the 2006 influenza season. Billing teams must ensure proper billing channels: pharmacy bills Medicaid directly for residents without Medicare Part B, while facilities must purchase and bill Medicare for residents with Part B coverage. Secure physician orders for all vaccine administrations as required by Department of Public Health.