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MedicaidCoverageMedium impact

Illinois Healthy Women

Illinois Medicaid - HFS·IL · Family Medicine, OB-GYN, General Practice·Provider Notice
Effective date
Apr 19, 2004
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois Medicaid is launching Illinois Healthy Women program effective April 19, 2004, providing family planning and reproductive health services to women ages 19-44 who are losing medical coverage. The program covers specific services when billed with V25 family planning diagnosis codes and requires prior authorization for STI medications and multivitamins.

Action Required

Action needed
By April 19, 2004: Billing team must ensure family planning services are billed with V25 diagnosis codes for Illinois Healthy Women patients. Update system to recognize pink identification cards. Obtain prior authorization by calling 1-800-252-8942 for STI medications and multivitamins (prenatal vitamins exempt). Providers should include ICD-9-CM codes on written prescriptions. Claims without proper V25 coding or required prior authorizations will be denied.

Affected Billing Codes

V25
Illinois Healthy Women | Illinois Medicaid - HFS | PolicyChanges.app