MedicaidAdministrativeMedium impact
Correction to Psychiatric Collaborative Care Model Guidelines
Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Feb 23, 2023
We identified it
Jun 20, 2026
Summary
Licensed clinical psychologists have been removed as allowable psychiatric consultants under the Medicaid Psychiatric Collaborative Care Model (CoCM) Guidelines due to prescription authority limitations. This corrects previous guidelines and affects billing for collaborative care services.
Action Required
Immediately: Billing team must verify that no licensed clinical psychologists are being billed as psychiatric consultants for CoCM services under Medicaid fee-for-service or managed care. Update provider credentialing lists and ensure only qualified psychiatric consultants with appropriate prescription authorities are used for CoCM billing. Contact 877-782-5565 for questions.