Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Illinois Medicaid - HFSMedicaid · Coverage · Provider Notice · IL · Endocrinology, Internal Medicine, Family Medicine +1 moreMedium impact

PDL Update to Long-Acting Insulins

Act
by Aug 7, 2026
Effective date
Jul 24, 2026
Identified
Aug 8, 2026

Summary

Illinois Medicaid has temporarily moved insulin glargine-yfgn (a biosimilar) to preferred status on the PDL due to an intermittent supply shortage of Lantus SoloStar pens. This change applies to both Fee-For-Service and Managed Care Organization plans effective July 24, 2026. Lantus vials remain unaffected and preferred. The biosimilar preferred status is temporary and will be reversed once the shortage resolves.

Get alerts when payers change rules like this one

We check Illinois Medicaid - HFS and other payers every day and email you when a change matches your specialty and state.

Get Illinois Medicaid - HFS alertsPolicy Monitoring is free. No card required.

What to do

by Aug 7, 2026 · 5 steps
01Billing and clinical teams must update pharmacy benefit management systems and provider ordering workflows to recognize insulin glargine-yfgn (J7309) as preferred for Illinois Medicaid Fee-For-Service and MCO beneficiaries.
02Providers should be notified that Lantus SoloStar pens may face prior authorization or denial due to shortage; insulin glargine-yfgn is the alternative preferred option.
03Monitor Illinois HFS communications for resolution of the shortage and reversion to original PDL status.
04Failure to update may result in delayed claims or unnecessary prior authorization requests.
05Contact Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable MCO for clarification.

Codes mentioned

J7309J7310J7311

Original notice

PDL Update to Long-Acting Insulins
hfs.illinois.gov · Always check the source before changing claims.
View original ↗

Related policy hubs

Illinois Medicaid - HFS policiesIL policy changesEndocrinologyInternal MedicineFamily MedicineGeneral PracticeCode J7309Code J7310Code J7311

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account