MedicaidCoverageMedium impact
Dental Encounters
Illinois Medicaid - HFS·IL · Dentistry·Provider Notice
Effective date
Aug 19, 2018
We identified it
Jun 20, 2026
Summary
Illinois FQHCs can now bill dental encounters for services provided by dental hygienists under general supervision of a dentist, effective August 19, 2018. Only one dental encounter per patient per day is reimbursable, and claims must be submitted to DentaQuest.
Action Required
Billing team at Illinois FQHCs must submit dental encounter claims performed by dental hygienists under general supervision to DentaQuest (not standard medical contractor). Ensure only one dental encounter per patient per day is billed. Refer to Dental Office Reference Manual (DORM) for specific billing procedures. For managed care patients, contact the specific HealthChoice plan for billing information.