Provider Notice Issued 03/15/2021

Date:    March 15. 2021

 

To:       All Medical Assistance Program Providers

 

Re:      COVID-19 Vaccine Administration – Free to Medical Assistance Program Participants and the Uninsured  

 

 

This notice emphasizes to providers that COVID-19 vaccine administration is to be provided at no cost to participants covered under traditional Medicaid fee-for-service, HealthChoice Illinois managed care plans, or the uninsured population including undocumented individuals.

 

Medical Assistance Program Participants

Illinois Medicaid fee-for-service participants and HealthChoice Illinois managed care plan participants shall not be turned down for COVID-19 vaccination services when vaccinations are available to be administered. Services are to be provided at no cost to the participant. Providers should bill either the fee-for-service program or the HealthChoice Illinois managed care plan, as appropriate, for the vaccine administration. Providers will be reimbursed at Medicare rates for vaccine administration, per the COVID-19 fee schedule.

 

Uninsured Population

Uninsured individuals shall not be turned down for COVID-19 vaccination services when vaccinations are available to be administered. Services are to be provided at no cost to the uninsured individual. The Health Resources and Services Administration (HRSA) COVID-19 Claims Reimbursement to Health Care Providers and Facilities for Testing, Treatment, and Vaccine Administration for the Uninsured program reimburses providers at Medicare rates for providing COVID-19 vaccine administration to uninsured patients, regardless of patient income, citizenship, or immigration status. For reimbursement, providers should submit claims to the HRSA COVID-19 Claims Reimbursement Portal.

 

Transportation Coverage for Vaccinations

Non-emergency transportation services are available for Medicaid fee-for-service and HealthChoice Illinois managed care plan participants to travel to and from a vaccine administration location to receive their COVID-19 vaccination.

 

Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565 for fee-for-service claims, or to the individual HealthChoice Illinois managed care plan.

 

 

Kelly Cunningham, Administrator

Division of Medical Programs

 ​


Notices

 

 Need Assistance?