MedicaidReimbursementMedium impact
Dental Service Rate Update Effective for Dates of Service on and after January 1, 2022
Illinois Medicaid - HFS·IL · Dentistry, Oral & Maxillofacial Surgery·Provider Notice
Effective date
Jan 1, 2022
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has updated dental service rates effective January 1, 2022, with increases for 29 specific dental codes ranging from $4.48 to $444.09. These new rates apply to fee-for-service Medicaid, Medicaid managed care plans, and Medicare-Medicaid dual eligible plans.
Action Required
By January 1, 2022: Billing team must update fee schedules in billing system with the new Illinois Medicaid dental rates for all 29 affected CDT codes. Update contracts and fee schedules to reflect increased reimbursement rates ranging from $4.48 to $444.09 for specified procedures.