MedicaidReimbursementHigh impact
Dental Rate Increases for Children and Adult Services Effective January 1, 2023, per Public Act 102-1037
Illinois Medicaid - HFS·IL · Dentistry·Provider Notice
Effective date
Jan 1, 2023
We identified it
Jun 20, 2026
Summary
Dental reimbursement rates have increased for both children and adult services under Illinois Medicaid programs effective January 1, 2023. A revised Dental Fee Schedule is now available on the Illinois HFS website with updated payment rates.
Action Required
Immediately: Billing team must download and review the revised Dental Fee Schedule from the Illinois HFS website to understand new reimbursement rates. Update billing system with new payment expectations for Medicaid FFS, HealthChoice Illinois MCO, and MMAI plan dental claims. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for FFS questions or applicable MCO/MMAI plans for rate clarification.