MedicaidAdministrativeMedium impact
Flu Vaccine
Illinois Medicaid - HFS·IL · Pharmacy, Geriatrics·Provider Notice
Effective date
Jul 15, 2005
We identified it
Jun 21, 2026
Summary
Long-term care facilities must now contact their own pharmacies to obtain flu vaccines for Medicaid residents instead of receiving vaccines from the state department. Pharmacies will bill Medicaid directly for both influenza and pneumococcal vaccines, with Medicare Part B billed first for eligible residents.
Action Required
Long-term care facilities: Contact your pharmacy to arrange flu vaccine supply for Medicaid residents. Pharmacies: Update billing procedures to bill Medicaid directly for influenza and pneumococcal vaccines, ensuring Medicare Part B is billed first for dual-eligible residents. Facilities must obtain physician orders before vaccine administration as required by Department of Public Health.