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MedicaidBilling CodesMedium impact

Claim Coding Clarification and Group Therapy for Community Mental Health Centers, Behavioral Health Clinics, and Substance Use Prevention and Recovery (SUPR) Providers

Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Not stated
We identified it
Jun 20, 2026
Days to comply

Summary

Community Mental Health Centers, Behavioral Health Clinics, and Substance Use Prevention and Recovery providers must start using modifier GT and Place of Service code 02 for telehealth services 60 days after the public health emergency ends. Group therapy via telehealth is now allowed with updated consent procedures required to address confidentiality risks.

Action Required

Action needed
60 days after public health emergency ends: Billing team must update system to require modifier GT and Place of Service code 02 for all telehealth services at CMHCs, BHCs, and SUPR providers. Update consent procedures for group therapy via telehealth to address confidentiality risks when clients are at home. Contact Bureau of Behavioral Health at 217-557-1000 or HFS.BBH@illinois.gov for CMHC/BHC questions, or SUPR Help Desk at doit.suprhelp@illinois.gov for SUPR questions.

Affected Billing Codes

GT
02