MedicaidCoverageMedium impact
UPDATE: Revisions to the Comprehensive Billing Guide for Medicaid Managed Care Services- Version 36.0
Illinois Medicaid - HFS·IL · OB-GYN·Provider Notice
Effective date
May 1, 2026
We identified it
Aug 4, 2026
Summary
Illinois Medicaid Managed Care has released Version 36.0 of the Comprehensive Billing Guide, which now includes provider enrollment and billing guidelines for Licensed Certified Professional Midwives (LCPMs). LCPM services became a covered benefit under Illinois Medicaid effective May 1, 2026. Billing teams must obtain and implement the updated manual to ensure correct claim submission for LCPM services.
Action Required
By August 31, 2026: Billing team must review and implement Version 36.0 of the IAMHP Comprehensive Billing Guide, specifically the new sections on LCPM provider enrollment and billing requirements. Download the full guide from the link provided in the notice and update billing software, encounter forms, and internal procedures to reflect LCPM coverage and billing guidelines. Ensure all staff who process claims for LCPM services are trained on the new billing requirements. If your practice contracts with or plans to credential LCPMs with Illinois Medicaid MCOs, coordinate with credentialing department to complete enrollment. Contact IAMHP or individual HealthChoice Illinois managed care plans with questions about specific LCPM billing codes or requirements.