MedicaidCoverageMedium impact
Confirmation of Coverage for Cognitive Assessments Per Public Act 103-0102
Illinois Medicaid - HFS·IL · Psychiatry, Neurology, Geriatrics +2 more·Provider Notice
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services now covers cognitive assessments effective January 1, 2024, under Public Act 103-0102. Providers can bill CPT code 99483 for psychiatric assessment of cognitive impairment for eligible Medicaid patients in both fee-for-service and managed care programs.
Action Required
Immediately: Billing team must add CPT code 99483 (Psychiatric Assessment, Cognitive Impairment) to billing system for Illinois Medicaid patients. Update encounter forms to include this code for providers treating cognitive impairment. Ensure documentation meets CMS guidelines for medical necessity and avoid billing contraindicated services on same date.