MedicaidCoverageMedium impact
Home Visiting Organization Enrollment and Billing per Public Act 102-0665
Illinois Medicaid - HFS·IL · OB-GYN, Pediatrics, Family Medicine·Provider Notice
Effective date
Nov 21, 2025
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now covers home visiting services for pregnant and parenting individuals effective November 21, 2025. Home visiting organizations must enroll as providers and can bill using CPT 99600 with specific modifiers for nurse vs non-nurse models.
Action Required
Immediately: Home visiting organizations in Illinois must enroll in the IMPACT provider system using Type 2 NPI and select 'Home Visiting Program' provider type. Update billing systems to use CPT 99600 with HD modifier for nurse models or no modifier for non-nurse models. Organizations must obtain certification from appropriate national governing bodies and upload certificates during enrollment. Bill under birthing person's or child's Medicaid RIN using taxonomy code 174H00000X.