Illinois Medicaid Primary Care Physician (PCP) Add-on Fee Payment Issue

Posted April 11, 2019

This notice applies to providers who submitted professional claims for services provided to our Illinois Medicaid members on or after Feb. 11, 2019. Illinois Medicaid includes Blue Cross Community Health PlansSM (BCCHPSM) members.

On Feb. 11, 2019, Blue Cross and Blue Shield of Illinois (BCBSIL) identified a system issue involving PCP add-on fee payments. BCBSIL is currently working to resolve this issue and we expect to have a fix in place by April 15, 2019.

There is nothing providers need to do related to the above issue. Once the issue is resolved, we will reprocess all Illinois Medicaid claims received between Feb. 11, 2019, and the date the issue is resolved.

Please continue to watch the News and Updates for more information, as it becomes available. If you have questions related to this issue, contact our Provider Network team at or 855-653-8126.