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MedicaidReimbursementMedium impact

Psychiatric Add-on Payments Retroactive to Dates of Service Beginning July 1, 2019

Illinois Medicaid - HFS·IL · Psychiatry·Provider Notice
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid is providing retroactive add-on payments for psychiatric services performed by board-certified psychiatrists beginning July 1, 2019. Providers can submit replacement claims within 12 months of original payment to receive the additional reimbursement.

Action Required

Action needed
Within 12 months of original paid voucher date: Billing team should submit replacement claims through MEDI or 837P files for psychiatric services rendered by board-certified psychiatrists from July 1, 2019 onward to receive add-on payments. Review Chapter 300 Companion Guide for replacement claim instructions. Contact Bureau of Professional and Ancillary Services at 877-782-5565 for fee-for-service claims questions.

Affected Billing Codes

90791
90792
90832
90833
90834
90836
90837
99213
99214
99215