MedicaidBilling CodesMedium impact
UPDATE: New Sections Published under the Comprehensive Billing Guide for Medicaid Managed Care Services
Illinois Medicaid - HFS·IL · Family Medicine, General Practice, Psychiatry +2 more·Provider Notice
Effective date
Sep 22, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid MCOs published Version 25 of their Comprehensive Billing Guide with updates for telehealth services, including new Modifier 93 for audio-only telehealth and Place of Service code 10 for patient's home. Additional changes affect community behavioral services, hospital billing, anesthesia, and transportation services.
Action Required
Immediately: Billing team must update system to append Modifier 93 for audio-only telehealth services and use Place of Service code 10 when the originating site is the patient's home for FQHC, RHC, and Encounter Rate Clinic services. Review the full Version 25 guide at https://iamhp.net/providers for additional specialty-specific billing changes affecting community behavioral services, hospital billing, and anesthesia services.