MedicaidCoverageMedium impact
Coverage of Violence Prevention Community Support Team Services
Illinois Medicaid - HFS·IL · Psychiatry, Family Medicine, Pediatrics·Provider Notice
Effective date
May 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now covers Violence Prevention Community Support Team (VP-CST) services for trauma recovery from firearm violence exposure starting May 1, 2022. New billing codes H0037 and H0037 HQ are available for individual and group services with specific modifier requirements and reimbursement rates.
Action Required
By May 1, 2022: Billing teams at Community Mental Health Centers and Behavioral Health Clinics must add HCPCS code H0037 (individual VP-CST) and H0037 HQ (group VP-CST) to billing systems with required modifiers for staff level. Update fee schedules with state max rates: H0037 $34.45-$37.55 on-site/off-site, H0037 HQ $4.86-$5.64. Complete IMPACT enrollment modification for VP-CST specialty/subspecialty before billing these services.