MedicaidBilling CodesHigh impact
Reimbursement Changes regarding Intrauterine Devices (IUDs) and Implantable Contraceptives
Illinois Medicaid - HFS·IL · OB-GYN, Family Medicine, General Practice·Provider Notice
Effective date
Jun 15, 2012
We identified it
Jun 20, 2026
Summary
Effective June 15, 2012, providers can no longer bill IUDs and implantable contraceptives through pharmacy point-of-sale systems for Medicaid patients. Providers must now purchase the devices directly and bill Medicaid for both the product and insertion procedure using family planning indicators and modifiers.
Action Required
By June 15, 2012: Stop billing IUDs and implantable contraceptives through pharmacy point-of-sale system. Providers must establish direct purchasing relationships with device suppliers and update billing workflows to bill Medicaid directly for both the device and insertion procedure using family planning indicators and modifiers. Maintain logs tracking any unused IUDs with patient RINs and submit quarterly reports to Bureau of Comprehensive Health Services at 1-877-782-5565.