Fee Schedule and Program Changes
Fee Schedule and/or Program Changes: When Meridian receives a fee schedule update or program change from HFS, we will load the change to the claim system as quickly as possible. See below for loading schedule. At times Meridian will receive a fee schedule or program change after the effective date. Providers do not need to request reprocessing of claims as Meridian will automatically reprocess all impacted claims once the change is loaded into the claims system. Interest will apply to claims reprocessed more than 45 days after the notification of the change. Claims with billed charges less than the published charge will not be reprocessed. Providers should always bill with usual and customary charges to avoid this situation.
| Production Status | |
|---|---|
| In-Progress | System is currently being updated to reflect change |
| Completed | System is updated to pay claims per the HFS fee schedule or program change |
| No Updates Needed | System is already configured to pay per HFS fee schedule or program change |
| Claim Adjustment Status
| ||
|---|---|---|
| Pending | Claims reprocessing has not begun | |
| In Progress | Claims to reprocess based on HFS fee schedule or program change have been identified and a project submitted | |
| Completed | Claims reprocessing is complete | |
| N/A | System was updated prior to receiving claims. No reprocessing needed | |
Fee Schedule Updates and Program Changes
| Title | Date Received from HFS | Effective Date | Production Status | Completion Date of Production | Claims Adjustment Status and/or Completion Date |
|---|---|---|---|---|---|
| 04.01.2025 SNF/SMHRF/SLP MCO Rates | 5/8/2025 | 4/1/2025 | In-Progress | Pending | |
| Optometric Fee Schedule Effective 01/01/2025 | 5/7/2025 | 1/1/2025 | In-Progress | Pending | |
| School Based Health Services Fee Schedule Effective 01/01/2025 | 5/7/2025 | 1/1/2025 | In-Progress | Pending | |
| LPHA Fee Schedule Effective 05/01/2025 | 5/7/2025 | 1/1/2025 | In-Progress | Pending | |
| 01/01/2025 Family Planning Fee Schedule | 5/2/2025 | 1/1/2025 | In-Progress | Pending | |
| 01/01/2025 Practitioner Fee Schedule Updated 04/30/2025 | 5/1/2025 | 1/1/2025 | In-Progress | Pending | |
| Birth Center Fee Schedule Effective DOS 01/01/2025 | 4/29/2025 | 1/1/2025 | In-Progress | Pending | |
| Provider Notice- Revised Hospital Rate Sheets and Calculators Effective April 1, 2025 | 4/24/2025 | 4/1/2025 | In-Progress | Pending | |
| Nursing Facility Per Diem Rate Notices - Bria of Godfrey Rate Update | 4/18/2025 | Varies | In-Progress | Pending | |
| Nursing Facility Per Diem Rate Notices - Paul House & Healthcare Update | 4/18/2025 | 1/1/2025 | In-Progress | Pending | |
| Bria of River Oaks Vent Rate Sheet | 4/15/2025 | Varies | In-Progress | Pending | |
| Proposed 7/1/25 Rate Increases (Rehabilitation Service waivers are anticipating the rate increases) | 4/15/2025 | 7/1/2025 | Pending | Pending | |
| HCPCS Code Addition/Change | 4/11/2025 | 4/1/2025 | In-Progress | Pending | |
| Legislation - New Anesthesia Rates - Effective 01/01/2025 | 4/7/2025 | 1/1/2025 | In-Progress | Pending | |
| Hospital Rate Update Notification (MMIS Rate Table Update) | 4/2/2025 | 4/1/2025 | Completed | 5/2/2025 | In-Progress |
| Health Benefits for Immigrant Adults (HBIA) – Notice of Coverage Ending Effective June 30, 2025 | 4/1/2025 | 6/30/2025 | Pending | Pending | |
| Updated Vent Rates | 3/24/2025 | Varies | No Updates | N/A | |
| Nursing Facility Per Diem Rate Notices - Capital Rate Changes Eff 01/01/25 | 3/20/2025 | 1/1/2025 | Completed | 3/21/2025 | In-Progress |
| Initiation of Buprenorphine - Medication for the Treatment of Opioid Use Disorder (MOUD) | 3/19/2025 | 1/1/2022 | Pending | Pending | |
| 01/01/2025 SNF/SMHRF/SLP MCO Rates Updated | 3/17/2025 | 1/1/2025 | Completed | 3/18/2025 | In-Progress |
| 2025 MPA MHVA Final Rates effective 01/01/2025 Updated 3/14/2025 | 3/6/2025 | 1/1/2025 | Completed | 3/18/2025 | In-Progress |
| Supportive Living Program Rates Effective January 1, 2025 | 3/3/2025 | 1/1/2025 | Completed | 3/4/2025 | In-Progress |
| Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRFs Effective January 1, 2025 | 3/3/2025 | 1/1/2025 | Completed | 3/11/2025 | In-Progress |
| Licensed Certified Professional Midwives Add-on Payment | 2/24/2025 | 3/1/2025 | In-Progress | Pending | |
| Nursing Facility Per Diem Rate Notices - Capital Rate Changes due to Tax Updates 12.18.24 | 2/10/2025 | 12/1/2024 | No Updates | N/A | |
| 2025 Renal Dialysis Rates | 2/3/2025 | Varies | Completed | 3/17/2025 | N/A |
| Revised APR-DRG and EAPG Hospital Rate Calculators | 2/3/2025 | 1/1/2025 | No Updates | N/A | |
| CCBHC PPS Rates Heritage Behavioral Health Center | 1/16/2025 | 10/1/2024 | Completed | 1/7/2025 | Completed |
| Revised Provider ID for OSF | 1/10/2025 | 1/1/2024 | No Updates | N/A | |
| Certified Community Behavioral Health Clinics (CCBHC) Fee Schedule - Updated | 1/9/2025 | 10/1/2024 | Completed | 1/7/2025 | Completed |
| Updated School Based/Linked Health Center Fee Schedule | 1/9/2025 | 10/1/2025 | Completed | 1/7/2025 | Completed |
| Updated Podiatry Fee Schedule effective 10/1/24 | 1/9/2025 | 10/1/2025 | Completed | 1/16/2025 | In-Progress |
| Updated 12.31.2024 Practitioner and Family Planning Fee Schedules 01.06.2025 | 1/9/2025 | 1/1/2024 | No Updates | N/A | |
| 2025 MPA MHVA Final Rates effective 01/01/2025 | 1/6/2025 | 1/1/2025 | Completed | 2/6/2025 | Completed |
| Nursing Facility Per Diem Rate Notices - Capital Rate Changes due to Tax Updates 12.18.24 | 12/30/2024 | Varies | Completed | 1/2/2025 | Completed |
| Rural Health Clinics CY25 Rate List with NPI | 12/30/2024 | 1/1/2025 | Completed | 1/13/2024 | Completed |
| Coverage of Human Papillomavirus (HPV) Vaccination Ages 46 and Up per Public Act 103-0102 | 12/27/2024 | 1/1/2025 | No Updates | N/A | |
| 2025 MPA MHVA Final Rates effective 01/01/2025 | 12/26/2024 | 1/1/2025 | Completed | 2/6/2025 | Completed |
| Cook County Hospitals and University of Illinois Hospitals 1.1.25 Rates | 12/23/2024 | 1/1/2025 | Completed | 1/20/2025 | In-Progress |
| Nursing Facility Per Diem Rate Notices - due to appeals | 12/19/2024 | Varies | Completed | 12/17/2024 | Completed |
| 01/01/25 INH Rate Increase (In- Home Rate) | 12/18/2024 | 1/1/2025 | Completed | 11/4/2024 | N/A |
| 10% Hospital Rate Increase Update | 12/17/2024 | 1/1/2024 | Completed | 1/29/2025 | Completed |
| School Based Health Services Fee Schedule Effective 10/01/2024 Updated 12/11/2024 | 12/11/2024 | 10/1/2024 | Completed | 12/25/2025 | Completed |
| Podiatrist Fee Schedule effective 10/01/2024 updated 12/11/2024 & 1/9/2025 | 12/11/2024 | 10/1/2024 | Completed | 1/16/2025 | In-Progress |
| CY 2025 FQHC rates for MCOs | 12/11/2024 | 1/1/2025 | Completed | 1/9/2025 | Completed |
| Nursing Facility Per Diem Rate Notices: ILLINI HERITAGE REHAB AND HC | 12/10/2024 | Varies | No Updates | N/A | |
| Updated Community-Based Behavioral Health Fee Schedule and Billing Guidance | 12/9/2024 | 8/1/2024 | Completed | 12/18/2024 | Completed |
| Practitioner Fee Schedule Effective 10/01/2024 Updated 12/06/2024 | 12/6/2024 | 10/1/2024 | Completed | 12/30/2024 | Completed |
| Nursing Facility Per Diem Rate Notices - Brookdale Plaza Lisle Eff 01/01/24 Updated Rate 12.10.2024 | 12/6/2024 | 1/1/2024 | Completed | 12/17/2024 | N/A |
| Revised APR-DRG and EAPG Hospital Rate Calculators - Effective 1.1.2025 | 12/4/2024 | 1/1/2025 | Completed | 12/26/2024 | Completed |
| Family Planning Program Fee Schedule Updated 11/25/2024 | 11/25/2024 | Varies | No Updates | N/A | |
| Updated Practitioner Fee Schedule and Fee Schedule Key for 07/01/2024 | 11/18/2024 | 7/1/2024 | Completed | 1/16/2024 | Completed |
| MPA and MHVA Rate BJC and Christian Hospital | 11/14/2024 | 10/1/2022 | Completed | 11/29/2023 | Completed |
| Updated Practitioner Fee Schedule and PFS Key effective 7/1/2024 | 11/6/2024 | 7/1/2024 | Completed | 12/4/2024 | N/A |
| Revised Rate Sheet - SouthEast Behavioral Hospital | 10/31/2024 | 1/1/2024 | Completed | N/A | |
| 7/1/24 SNF/SMHRF/SLP MCO Rates | 10/25/2024 | 7/1/2024 | Completed | 11/12/2024 | Completed |
| Hospice Annual Rate Changes Effective October 1, 2024 | 10/18/2024 | 10/1/2024 | Completed | 10/24/2024 | Completed |
| Upcoming Rate Increases DRS and Elderly Waivers Updated Correction 10/23/2024 | 10/17/2024 | 1/1/2025 | Completed | 11/4/2024 | N/A |
| Lactation Counseling Services Fee Schedule | 10/11/2024 | 1/1/2024 | Completed | 12/31/2024 | N/A |
| Doula Fee Schedule | 10/11/2024 | 2/1/2024 | Completed | 11/22/2024 | N/A |
| $113 add-on for Outpatient Psychiatric Claims | 8/24/2023 | 1/1/2023 | In Progress | Pending |
| Title | Dated Received from HFS | Effective Date | Production Status | Completion Date of Production | Claims Adjustment Status and/or Completion Date |
|---|---|---|---|---|---|
| Updated Podiatry Fee Schedule | 10/10/2024 | 7/1/2024 | No Updates | N/A | |
| SUPR/ DASA Rates | 10/8/2024 | 7/1/2024 | Completed | 10/8/2024 | N/A |
| Updated CCBHC Rates | 10/3/2024 | 10/1/2024 | Completed | 10/3/2024 | N/A |
| Nursing Facility Per Diem Rate Notices Updated Notice 10.7.2024, 10.11.2024 | 10/3/2024 | Varies | Completed | Completed | |
| School Based Health Services Fee Schedule Effective 07/01/2024 Updated 09/27/2024 | 9/30/2024 | 7/1/2024 | No Updates | N/A | |
| 7/1/24 & 4.1.2024 updated Practitioner Fee Schedule Updated Fee Schedule 9.27.2024 | 9/20/2024 | 7/1/2024 | Completed | 10/4/2024 | Completed |
| Updated C19 Fee Schedule | 9/20/2024 | Varies | No Updates | N/A | |
| CCBHC Provider Enrollment and Rate Information | 9/17/2024 | 10/1/2024 | Completed | 9/26/2024 | N/A |
| Upcoming Rate Increases DRS and Elderly Waivers | 9/9/2024 | 1/1/2025 | Completed | 9/20/2024 | N/A |
| Capital Rate Updates and Tax Rate Changes | 8/23/2024 | Varies | Completed | 9/9/2024 | Completed |
| Updated C19 fee schedule eff 4.1.24 | 8/2/2024 | 4/1/2024 | Completed | 8/16/2024 | N/A |
| Updated Therapy fee schedule eff 1.1.24 | 8/2/2024 | 1/1/2024 | No Updates | N/A | |
| New Safety Net Add-on Payments effective 7-1-2024 (updated) | 7/26/2024 | 7/1/2024 | Completed | 8/6/2024 | Completed |
| Updated Pathways to Success Rates | 7/22/2024 | 8/1/2024 | Completed | 10/3/2024 | Completed |
| Lab Rates eff 4.1.24 | 7/22/2024 | 4/1/2024 | Completed | 3/28/2024 | N/A |
| 4.1.24 Pharmacist fee schedule with PRU | 7/19/2024 | 4/1/2024 | Completed | 8/20/2024 | N/A |
| 7/1/24 SNF/SMHRF/SLP MCO Rates | 7/19/2024 | 7/1/2024 | Completed | 7/30/2024 | N/A |
| Updated Audiology Fee Schedule | 7/19/2024 | 4/1/2024 | Completed | 8/6/2024 | Completed |
| SBHC fee schedule eff 4.1.24 | 7/19/2024 | 4/1/2024 | Completed | 8/9/2024 | Completed |
| Podiatric Fee Schedule eff 4.1.24 | 7/19/2024 | 4/1/2024 | Completed | 8/19/2024 | Completed |
| LPHA fee schedule with PRU | 7/19/2024 | 4/1/2024 | Completed | 3/27/2024 | N/A |
| Hospital Rate Sheet and Other Add On Rates for Montrose Behavioral Hospital - Adult Facility | 7/12/2024 | 1/1/2024 | Completed | 7/15/2024 | Completed |
| Revised 8/1/2023 Hospital Outpatient EAPG Calculator | 7/8/2024 | 8/1/2023 | No Updates | N/A | |
| DRS Rate Increases and SCM increases approved for 8/1/24 | 6/24/2024 | 8/1/2024 | Completed | 7/18/2024 | N/A |
| SUPR Rates | 6/12/2024 | 7/1/2024 | Completed | 6/14/2024 | N/A |
| New Safety Net Add-on Payments effective 7/1/2024 | 6/11/2024 | 7/1/2024 | Completed | 6/24/2024 | N/A |
| Air & Ground Ambulance Rates | 5/17/2024 | 1/1/2024 | Completed | 5/29/2024 | Completed |
| LTC - Warren Barr Lieberman 4/1/2024 Rate Sheet | 5/14/2024 | 4/1/2024 | Completed | 5/17/2024 | N/A |
| Transcervical Fibroid Ablation (TFA) Coverage effective 1/1/2024 | 5/29/2024 | 1/1/2024 | Completed | 8/16/2024 | N/A |
| 4/1/24 SNH/SMHRF/SLP MCO Rates | 4/26/2024 | 4/1/2024 | Completed | 4/24/2024 | N/A |
| COVID-19 Fee Schedule 4/24/2024 | 4/24/2024 | Varies | Completed | 3/20/2024 | Completed |
| Ventilator Enhanced Rate | 4/24/2024 | 1/1/2024 | Completed | 6/16/2024 | Completed |
| Breast Cancer Screening Rates + add-on | 4/24/2024 | 4/1/2024 | Completed | 7/13/2024 | Completed |
| Lactation Support Services - Update | 4/11/2024 | 1/1/2024 | Completed | 6/16/2024 | N/A |
| Updated IDoA Enhanced Rate Providers | 3/28/2024 | Varies | Completed | 4/2/2024 | N/A |
| New Practitioner Fee Schedule | 3/13/2024 | 4/1/2024 | Completed | 3/28/2024 | N/A |
| Updated CBS Fee Schedule Effective 1/1/2024 | 3/5/2024 | 1/1/2024 | Completed | 2/26/2024 | N/A |
| Electric Breast Pump Change in Benefit Frequency Without Prior Approval | 3/4/2024 | 1/1/2024 | Completed | 4/25/2024 | Completed |
| Peristeen Plus A4459 | 2/29/2024 | 1/1/2024 | Completed | 3/29/2024 | Completed |
| DSH MPA and MHVA Rates for 1/1/2024 - Update | 2/29/2024 | 1/1/2024 | Completed | 2/29/2024 | Completed |
| Practitioner Fee Schedule Effective 1/1/2024 Updated 2/27/2024 | 2/28/2024 | 1/1/2024 | Completed | 3/20/2024 | Completed |
| Updated SBHC Fee Schedule | 2/27/2024 | 1/1/2024 | Completed | 3/8/2024 | N/A |
| Updated Audiology Fee Schedule | 2/27/2024 | 1/1/2024 | Completed | 3/14/2024 | Completed |
| Lactation Support Services - Updated Fee Schedule | 2/26/2024 | 1/1/2024 | Completed | 6/16/2024 | Completed |
| SUPR Rates Updated | 2/23/2024 | 1/1/2024 | Completed | 3/1/2024 | Completed |
| New DME Rates Effective 1/1/2024 | 2/21/2024 | 1/1/2024 | Completed | 3/14/2024 | Completed |
| Implement COVID-19 Vaccine Administration Rate Change - by March 1, 2024 | 2/16/2024 | 3/1/2024 | Completed | 3/20/2024 | Completed |
| HIV/AIDS Waiver - Rate Increases Effective February 9th | 2/7/2024 | 2/9/2024 | Completed | 2/15/2024 | Completed |
| New EHRS Modifier | 1/30/2024 | 2/1/2024 | Completed | 2/29/2024 | N/A |
| NF and SLP Rate Updates | 1/30/2024 | 1/1/2024 | Completed | 2/8/2024 | N/A |
| EHRS Implementation - CCUs & EHRS | 1/16/2024 | 2/1/2024 | No Updates | N/A | |
| Final Practitioner Fee Schedule for 2023 | 1/10/2024 | 12/31/2023 | Completed | 3/1/2024 | N/A |
| Updated FP (Family Planning) Fee Schedule | 12/26/2023 | Varies | No Updates | N/A | |
| DSH MPA and MHVA Rates for 1/1/2024 | 12/19/2023 | 1/1/2024 | Completed | 2/9/2024 | Completed |
| Updated Practitioner Fee Schedule Effective 10/1/2023 | 12/14/2023 | 10/1/2023 | Completed | 12/19/2023 | Completed |
| CMHC Rates 1/1/2024 | 12/5/2023 | 1/1/2024 | Completed | 12/27/2023 | N/A |
| Revised Hospital Inpatient and Outpatient Calculators Effective 1/1/2024 | 12/1/2023 | 1/1/2024 | Completed | 12/19/2023 | N/A |
| Home Health Rates 1/1/2024 | 11/13/2023 | 1/1/2024 | Completed | 1/2/2024 | N/A |
| Renal Dialysis Rates and Provider Updates | 10/30/2023 | Varies | Completed | 12/1/2023 | Completed |
| SUPR Rate Sheet FY24 | 10/27/2023 | 1/1/2024 | Completed | 10/11/2023 | N/A |
| LTC Rates 10/1/2023 | 10/24/2023 | 10/1/1023 | Completed | 11/1/2023 | N/A |
| NF & SLP Rates 10/1/2023 | 10/23/2023 | 10/1/2023 | Completed | 10/16/2023 | N/A |
| FQHC/RHC Rates 1/1/2024 | 10/20/2023 | 1/1/2024 | Completed | 11/6/2023 | N/A |
| Coverage of Acupuncture Services per Public Act 102-1037 | 10/18/2023 | 4/1/2023 | Completed | 1/16/2024 | Completed |
| COVID-19 Fee Schedule Updates 9/15 & 10/22 Correction Came in 10/27/23 | 10/17/2023 | Varies | Completed | 11/1/2023 | N/A |
| Updated Practitioner Fee Schedule, Key and Modifier Listing | 10/4/2023 | 10/1/2023 | Completed | 10/26/2023 | Completed |
| Maternity Care Billing, Transition to Global Rates | 10/2/2023 | 10/1/2023 | Completed | 10/26/2023 | Completed |
| Revised Inpatient and Outpatient Calculators Effective 10/1/2023 | 10/2/2023 | 10/1/2023 | No Updates | N/A | |
| SBHC Fee Schedule Update Ready for Posting | 9/28/2023 | 7/1/2023 | Completed | 10/10/2023 | N/A |
| Fiscal Year 2024 Safety Net Obstetrical Payment Program | 9/26/2023 | Varies | Completed | 1/9/2024 | N/A |
| SUPR Rate Sheet FY24 Updated 9/26/2023 | 9/22/2023 | Varies | Completed | 10/11/2023 | N/A |
| 7/1/2023 Practitioner Fee Schedule | 9/13/2023 | 7/1/2023 | Completed | 9/20/2023 | Completed |
| Reminder to MCO's for Psych add on Payment for Certain Hospitals | 9/1/2023 | Varies | Completed | 9/14/2023 | Completed |
| Correct Outpatient Rates for Javon Bea Hospital | 8/24/2023 | Varies | No Updates | N/A | |
| Final 1/1/2023 Calculators and Rate Sheets for UHS Hospitals (IP/OP Hosp. Calculators EAPG & APR-DRG 1/1/23 - 7/31/23) | 8/23/2023 | 1/1/2023 | Completed | 9/19/2023 | N/A |
| Policy/Billing Change Effective 1/1/2024 CPT 99483 | 8/21/2023 | 1/1/2024 | Completed | 9/5/2023 | N/A |
| ICF/IID and MC/DD Rate Changes Effective January 1, 2023 | 8/17/2023 | 1/1/2023 | Completed | 8/1/2023 | N/A |
| Maternity Care Reimbursment Changes Effective 10/1/2023 | 8/15/2023 | 10/1/2023 | No Updates | N/A | |
| Pharmacists Billing for HIV Pre- and Post-Exposure Prophylaxis Assessment and Consultation per Public Act 102-1051 | 8/9/2023 | 1/1/2023 | Completed | 9/14/2023 | Completed |
| HCBS Rate Increases Effective 1/1/2024 | 8/9/2023 | 1/1/2024 | Completed | 8/21/2023 | N/A |
| Revised Outpatient EAPG Hospital Calculator - Updated | 8/1/2023 | 8/1/2023 | Completed | 8/16/2023 | Completed |
| B4105 - RELiZORB Pricing Increase | 7/28/2023 | 6/1/2023 | Completed | 7/31/2023 | N/A |
| Renal Dialysis Rates and Provider Updates | 7/28/2023 | Varies | Completed | 8/10/2023 | N/A |
| Rate Increase for Breast Tomosynthesis Procedures Effective 1/1/2023 per Public Act 102-1018 | 7/18/2023 | 1/1/2023 | Completed | 7/18/2023 | Completed |
| Revised IP and OP Calculators Effective 8/1/2023 - With Updates | 7/18/2023 | 8/1/2023 | Completed | 8/16/2023 | Completed |
| Revised IP and OP Calculators Effective 8/1/2023 - With Updates | 7/12/2023 | 8/1/2023 | Completed | 8/16/2023 | Completed |
| NF & SLP Rates - 7/1/2023 | 7/6/2023 | 7/1/2023 | Completed | 7/6/2023 | N/A |
| Practitioner Fee Schedule and Updated Key - Effective 4/1/2023 | 6/20/2023 | 4/1/2023 | Completed | 7/19/2023 | Completed |
| Podiatric Fee Schedule - Effective 4/1/2023 | 6/20/2023 | 4/1/2023 | Completed | 7/18/2023 | N/A |
| Practitioner Fee Schedule - Effective 1/1/2023 Updated 3/15/2023 | 6/6/2023 | 1/1/2023 | No Updates | N/A | |
| Long Acting Injectables - Effective 7/1/2023 | 6/2/2023 | 7/1/2023 | Completed | 2/12/2024 | N/A |
| DME Fee Schedule O&P Codes | 5/26/2023 | 6/1/2023 | Completed | 6/7/2023 | N/A |
| Community Care Program In-Home Service Rate Increase - Effective 4/1/2023 | 5/1/2023 | 4/1/2023 | Completed | 3/16/2023 | N/A |
| Rate Correction Letter for West Suburban | 4/27/2023 | Varies | Completed | 5/8/2023 | Completed |
| Updated LPHA (Licensed Practitioners of the Healing Arts) Fee Schedule | 4/19/2023 | 4/1/2023 | Completed | 3/28/2023 | N/A |
| NF and SLP Rates 4/1/2023 | 4/6/2023 | 4/1/2023 | Completed | 4/7/2023 | N/A |
| Updated COVID-19 Fee Schedule | 4/6/2023 | Varies | Completed | 4/7/2023 | N/A |
| Coding Change for Depression Screenings - Effective 4/1/2023 | 3/28/2023 | 4/1/2023 | Completed | 3/29/2023 | N/A |
| Practitioner Fee Schedule - Effective 1/1/2023 | 3/15/2023 | 1/1/2023 | Completed | 3/29/2023 | Completed |
| SBHC Fee Schedule - Effective 1/1/2023 | 3/15/2023 | 1/1/2023 | Completed | 4/4/2023 | N/A |
| Podiatry Fee Schedule - Effective 1/1/2023 | 3/15/2023 | 1/1/2023 | Completed | 3/31/2023 | N/A |
| Updated COVID-19 Fee Schedule | 3/13/2023 | 1/1/2023 | Completed | 3/14/2023 | N/A |
| Revised RY 23 MPA MHVA Rates (Additional Update on 3/10/2023) | 3/6/2023 | 10/1/2022 | Completed | 3/28/2023 | Completed |
| Revised Rate Sheet for Montrose Behavioral Hospital for Children | 2/14/2023 | 1/1/2023 | Completed | 3/28/2023 | Completed |
| St. James Final MPA Rate After Late Appeal | 2/14/2023 | 10/1/2022 | Completed | 2/24/2023 | Completed |
| Coverage of Interprofessional Consultation Procedure Codes for Psychiatric Services - Effective 2/1/2023 | 2/3/2023 | 2/1/2023 | Completed | 2/23/2023 | N/A |
| Updated Practitioner Fee Schedule for 12/31/2022 | 1/12/2023 | 12/31/2022 | No Updates | N/A | |
| Medicaid Rate List for Nursing Facilities, County Nursing Facilities, and SMHRF's | 1/10/2023 | 1/1/2023 | Completed | 1/12/2023 | N/A |
| Supportive Living Program Rates - Effective 1/1/2023 | 1/10/2023 | 1/1/2023 | Completed | 1/17/2023 | N/A |
| COVID-19 Fee Schedule Update | 1/9/2023 | Varies | Completed | 1/12/2023 | Completed |
| Final RY 2023 MPA and MHVA Rates to Plans - 10/3/2022-9/30/2023 | 1/6/2023 | 10/1/2022 | Completed | 2/2/2023 | Completed |
| Community Care Program - In-Home Rate Increase - 1/1/2023 | 12/22/2022 | 1/1/2023 | Completed | 12/16/2022 | N/A |
| 10/1 Rates for SNF and SLF - for Decatur Manor - Sharon Health Care Woods | 12/22/2022 | 10/1/2022 | Completed | 12/28/2022 | Completed |
| Update to Outpatient Rates for OSF St. Elizabeth - Ottata | 12/16/2022 | 10/1/2019 | Completed | 1/20/2023 | Completed |
| Correct Outpatient Rates for Javon Bea Hospital | 12/16/2022 | 7/1/2019 | Completed | 1/20/2023 | Completed |
| Updated C-19 Fee Schedule - Note on End Date of Bebtelovimab | 12/14/2022 | Varies | Completed | 12/29/2022 | N/A |
| Rate Increases for DRS and Aging - Effective 1/1/2023 (Homemaker) | 12/8/2022 | 1/1/2023 | Completed | 12/16/2022 | N/A |
| 10/1 Practitioner Fee Schedule | 12/2/2022 | 10/1/2022 | Completed | 1/17/2023 | Completed |
| SMHRF Rate Updates | 12/1/2022 | Varies | Completed | 12/5/2022 | Completed |
| FQHC and RHC Rates for CY 2023 State Revision 12/5/2022 | 11/29/2022 | 1/1/2023 | Completed | 12/22/2022 | N/A |
| 2023 Increases - Dental and Transportation | 11/18/2022 | 1/1/2023 | Completed | 12/15/2022 | N/A |
| Retroactive Rate Change for Methodist Medical Center, Peoria (Effective 1/1/2022) | 11/10/2022 | 1/1/2022 | Completed | 11/25/2022 | Completed |
| IDOA Enhanced Rate - Homemaker Providers Increase | 11/10/2022 | 11/1/2022 | Completed | 11/17/2022 | N/A |
| New Novavax Booster Effective 10/19/22 for Age 18+ (COVID-19 Fee Schedule) | 11/3/2022 | 10/19/2022 | Completed | 11/14/2022 | N/A |
| Updates Due to Capital Rate Exceptions - Grouped by Rate Quarter (Retro LTCF Rates) | 11/1/2022 | Varies | Completed | 11/17/2022 | Completed |
| Advanced Copy of Updated COVID-19 Fee Schedule 91314, 0144A, 91315, 0154A - Effective 10/12/2022 | 10/28/2022 | 10/12/2022 | Completed | 11/4/202 | Completed |
| Updated COVID-19 Fee Schedule | 10/24/2022 | Varies | Completed | 12/7/2022 | Completed |
| Quantity Limit for HCPCS A4393 | 10/7/2022 | 9/1/2022 | Completed | 11/8/2022 | N/A |
| Updated (CBS) Community-based Behavioral Health Services Fee Schedule - Effective 7/1/2022 | 10/6/2022 | 7/1/2022 | Completed | 7/13/2022 | N/A |
| New COVID-19 Booster Vaccinations | 9/30/2022 | Varies | Completed | 9/15/2022 | N/A |
| Hospice Annual Rate Changes - Effective 10/1/2022 | 9/22/2022 | 10/1/2022 | Completed | 9/27/2022 | N/A |
| RY 23 Initial MPA MHVA Rates | 9/19/2022 | Varies | Completed | 11/18/2022 | Completed |
| Revised OP Hospital Rate Sheet for Ingalls Memorial | 9/19/2022 | 7/1/2022 | Completed | 12/16/2022 | Completed |
| Updated COVID-19 Fee Schedule | 9/14/2022 | Varies | Completed | 9/15/2022 | N/A |
| MonkeyPox (MPV) - Advanced Notice of Testing Code/Rate | 9/2/2022 | 7/26/2022 | Completed | 9/15/2022 | N/A |
| Renal Dialysis Rates and Provider UPdates | 9/2/2022 | Varies | Completed | 10/25/2022 | Completed |
| Updated Practitioner Fee Schedule - Effective 7/1/2022 Updated 8/24/22 | 8/24/2022 | 7/1/2022 | Completed | 9/14/2022 | Completed |
| Updated Practitioner Fee Schedule Modifier - Effective 8/11/2022 | 8/11/2022 | 7/1/2022 | Completed | 4/27/2022 | N/A |
| SUPR Rate Sheet for MCO's Version - July Version | 8/3/2022 | 1/1/2022 | Completed | 8/8/2022 | N/A |
| Hospital Outpatient Claims for Sexual Assault Treatment Services per Public Act 102-0699 | 7/28/2022 | 7/1/2022 | Completed | 10/3/2022 | N/A |
| Podiatry Fee Schedule | 7/25/2022 | 4/1/2022 | Completed | 8/5/2022 | N/A |
| Updated COVID-19 Fee Schedule (Novavax Vaccine/Admin Code Addition) | 7/21/2022 | 7/13/2022 | Completed | 7/25/2022 | N/A |
| Optometry Fee Schedule Update 9/1/2022 | 7/18/2022 | 9/1/2022 | Completed | 7/19/2022 | N/A |
| New Rates for LTC | 7/13/2022 | 7/1/2022 | Completed | 7/20/2022 | N/A |
| Hospital Outpatient Claims with JW Modifier | 7/12/2022 | 11/18/2021 | Completed | 8/8/2022 | Completed |
| Supportive Living SLP Rate Update | 7/12/2022 | 7/1/2022 | Completed | 7/14/2022 | N/A |
| Changes in Billing Policy for Integrated Assessment and Treatment Planning (IATP), Community Support, and Crisis Stabilization Services | 7/1/2022 | 7/5/2022 | Completed | 7/8/2022 | N/A |
| SMHRF July 1 Rate Increase (Specialized Mental Health Rehabilitation Facilities) | 6/30/2022 | 7/1/2022 | Completed | 8/9/2022 | N/A |
| Updated 2021 Practitioner Fee Schedule - Effective 4/1/2022 | 6/30/2022 | 4/1/2022 | Completed | 8/3/2022 | Completed |
| OP High Volume Adjustment - Revised Rates - Effective 7/1/2022 | 6/30/2022 | 7/1/2022 | Completed | 8/22/2022 | Completed |
| Birth Center Rates - Effective 7/1/2022 | 6/29/2022 | 7/1/2022 | Completed | 7/13/2022 | N/A |
| Immunization Administration Rate Increase to $16.71 - Effective 7/1/2022 | 6/23/2022 | 7/1/2022 | Completed | 6/30/2022 | N/A |
| HB4700 CMHC Rate Increases on Specified Services - Effective 7/1/2022 | 6/15/2022 | 7/1/2022 | Completed | 6/23/2022 | N/A |
| New Modifier 93 and Place of Service 10 Have Been Added to Telehealth Benefits - Effective 7/1/2022 | 3/31/2022 | 7/1/2022 | Completed | 6/6/2022 | N/A |
| Modifier 93 and Place of Service Code 10 Implementation 4/1/2022 | 3/21/2022 | 7/1/2022 | Completed | 4/25/2022 | N/A |