Medicare AdvantageAdministrativeLow impact
Discuss Flu Shots and Other Vaccines With Members
BCBS Illinois·IL · Allergy & Immunology, Family Medicine, Pediatrics +2 more·General
Effective date
Aug 18, 2026
We identified it
Aug 19, 2026
Summary
Blue Cross Blue Shield of Illinois is reinforcing provider outreach to encourage flu, COVID-19, and other vaccine administration among members. This is an informational/quality improvement policy encouraging discussions about vaccines and tracking immunization status through HEDIS measures. No billing process changes are mandated, but providers should ensure proper coding and documentation for vaccine administration to support quality measure reporting.
Action Required
No immediate billing system changes required. Providers should: (1) Ensure vaccine administration codes are properly documented in member records to support Adult Immunization Status, Child Immunization Status, and Adolescents Immunization quality measures; (2) Verify member eligibility and benefits for preventive vaccines before administration, as coverage may vary by plan; (3) For Illinois Medicaid HealthChoice Child members up to age 2, ensure flu vaccination is documented to support HEDIS reporting; (4) Remind eligible members (ages 6 months to 2 years) to log into BCCHP IL Rewards to claim HealthMine incentives after flu vaccination completion. Contact member ID card number with questions on specific coverage.