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Provider Notice Issued 12/21/2021

Date:   December 21, 2021

To:       All Medical Assistance Program Providers

Re:      Reimbursement for Second Postpartum Visit per Public Act 102-0665

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This notice confirms coverage for a second postpartum visit required by Public Act 102-0665.  This policy applies to both Medicaid fee-for-service and the HealthChoice Illinois managed care plans.

The Act specifies coverage for a postpartum visit within the first 3 weeks after childbirth and a comprehensive visit within 4 to 12 weeks postpartum for persons who are otherwise eligible for Medical Assistance. Department policy already allows for one postpartum visit. Providers may bill the same procedure code, 0503F – Postpartum Care Visit, twice during the postpartum period and be reimbursed in accordance with the Act.

This policy is retroactive to dates of service beginning October 8, 2021. Questions may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable managed care plan.

 
Kelly Cunningham, Administrator
Division of Medical Programs



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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director