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June 2026
Making the Most of Summer: Billing Updates for Illinois
As summer begins, June brings a renewed sense of energy and opportunity. While longer days and warmer weather encourage us to spend more time outdoors, summer also provides an opportunity to reflect on the work that keeps our communities healthy and connected to care. In this month's Third-Party Billing Digest, we share updates, resources, and practical billing information to help public health providers navigate evolving requirements, strengthen reimbursement processes, and support sustainable service delivery. Thank you for the work you do every day to ensure Illinois residents have access to essential public health services. We hope this edition provides valuable insights to help you make the most of the season ahead.
The Illinois Department of Healthcare and Family Services (HFS)
Updated State Electronic Visit Verification (EVV) Policy. The EVV policy applies to providers billing for Medicaid, HealthChoice Illinois, and FIDE D-SNP members. Read a high-level overview of the updates here.
Managed Care Provider Resolution Portal. HFS recognizes the importance of providers having an outlet for reporting issues they may be having with an Illinois Medicaid Managed Care Health Plan (MCO). All providers are required to submit unresolved disputes with an MCO to HFS via the secure, web-based Provider Resolution portal. Issues that are submitted in the portal will be processed under the provider dispute resolution process and applicable timeframes as required by Public Act 101-0209 (SB1321). The goal of the portal is to encourage communication between the MCO and Provider and to ensure fair resolution of disputes in an electronic and secure format. Additional details on how to submit a complaint can be found here.
An overpayment may occur due to billing errors, services not medically necessary, or beneficiary eligibility changes (Title 42 CFR 433.304). The process that occurs once the overpayment is identified keeps all parties in compliance. To learn more, click here to review the full provider memo.
Required training for Home and Community Based Services (HCBS). The Centers for Medicare & Medicaid Services (CMS) provides web-based trainings and other materials on a variety of HCBS topics. Training and attestation are mandatory for HCBS home health providers. Molina is conducting live HCBS provider webinars monthly through 2026. Find more information about CMS trainings and Molina HCBS provider education series webinars here.
Illinois Public Health Association Help.Guide.Thrive. “From Outreach to Reimbursement: Medicare Billing for CHWs.” June 30, 2026, 10:00am-11:00am. This session will provide an overview of current Medicare billing pathways for CHW services, including eligible activities, documentation requirements, workflow considerations, and strategies for program sustainability. Additional information and to register can be found here.
Molina Healthcare of Illinois invites you to join the upcoming live webinars:
- Vaccine Billing, June 18, 1:00 PM Register
- NationsHearing for FIDE D-SNP, June 24, 1:00 PM Register
- Dental Provider Training, June 25, 11:00 AM Register
- HCBS and Home Health Billing, June 30, 1:00 PM Register
Looking for additional sessions? Explore the full 2026 schedule of live webinars exclusively for Illinois providers and register for provider updates to receive notices for upcoming trainings.
Aetna Better Health of Illinois
Aetna Better Health of Illinois will be conducting their annual Provider Satisfaction Survey from May 31 through July 16, 2026. During this time, provider agencies may receive a survey by mail from Press Ganey regarding their experience working with Aetna Better Health of Illinois.
Providers are encouraged to complete the survey, as feedback helps support ongoing quality improvement efforts and strengthens provider partnership and engagement. Click here to get additional details regarding the survey.
Contact your Provider Relations representative with any questions.
BlueCross BlueShield of Illinois
The June 2026 issue of Blue Review is available here. If you have not already subscribed to receive this publication, you may sign up here.
To contact your Provider Network Consultant, visit Provider Network Consultant Assignments for more information.
The Q2 2026 issue of Humana Physician News is available here. If you have not already subscribed to receive publications from Humana, you may sign up here.
Humana’s Medicare Stars Learning team is pleased to offer a series of live, facilitated educational sessions throughout 2026 to help providers stay informed and up to date. Click here to learn more and register.
The “Monthly Provider Check-In” for June 2026 can be found here.
Join Meridian’s live monthly session to stay informed on the latest updates for providers. Click here to register for the next live session on July 14, 2026.
Contact your assigned Provider Engagement Administrator or representative for support. For those without an assigned representative, complete this intake form or contact Meridian using the information here.
Molina is sharing a summary of recent news pertinent to your practice/facility.
Memo topics include Rate/Fee Schedule updates for June 2026, updates to Molina Clinical Policies, and much more! You can find the ‘‘Memo Roundup’’ here.
To register for Illinois provider updates, so you don’t miss any bulletins, Click Here.
Click here to receive information curated exclusively for Molina’s Illinois providers.
Contact your dedicated Provider Relations Manager or email the Provider Relations team at MHILProviderNetworkManagement@MolinaHealthcare.com. To help identify your dedicated Provider Relations Manager, visit Molina's Service Area map
The June 2026 issue of Network News contains important notifications and updates for healthcare providers.
If you have any QUESTIONS or SUGGESTIONS for TOPICS that you would like to see covered in future issues of the IPHA Billing Digest, please email your suggestions and/or requests to insurancebilling@ipha.com.
Your feedback is valuable and appreciated.
Thank you!
