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Provider Notice Issued 10/30/2020

Date:    October 30, 2020
To:       Enrolled Pharmacies
Re:      Critical Access Pharmacy (CAP) Dispensing Fee Program
This notice provides information related to pharmacies meeting the definition of a Critical Access Pharmacy (CAP) that missed the June 30, 2020 self-attestation deadline for the enhanced dispensing fee.
To receive enhanced dispensing fees for the current fiscal year July 1, 2020 through June 30, 2021, a CAP must self-attest via the MEDI system between July 1, 2020 and November 30, 2020 to meeting the State Plan CAP criteria. CAPs that completed the attestation process after July 1, 2020, and are currently not receiving the enhanced dispensing fee, can expect to start receiving the correct CAP dispensing fee by December 15, 2020. Once the update is complete, CAPs that are not receiving the enhanced dispensing fee may void and rebill affected claims for dates of service back to July 1, 2020.
Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565.
Kelly Cunningham
Interim Medicaid Administrator


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Illinois Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director