MedicaidCoverageMedium impact
Reinstatement of Adult Chiropractic Services per Public Act 102-0043
Illinois Medicaid - HFS·IL · Chiropractic·Provider Notice
Effective date
Dec 1, 2021
We identified it
Jun 20, 2026
Summary
Illinois is reinstating chiropractic services for adults age 21 and older under Medicaid and HealthChoice Illinois managed care plans effective December 1, 2021. Coverage is limited to chiropractic manipulative treatment for spinal subluxation with three specific CPT codes.
Action Required
Effective December 1, 2021: Billing team must update system to allow billing of CPT codes 98940, 98941, and 98942 for adult chiropractic patients (age 21+) on Illinois Medicaid and HealthChoice Illinois plans. Note that fee-for-service claims will be held pending CMS approval, while managed care claims will process immediately. Contact 877-782-5565 for billing questions.