MedicaidBilling CodesHigh impact
Dental Office Reference Manual (DORM)
Illinois Medicaid - HFS·IL · Dentistry·Provider Notice
Effective date
Aug 1, 2014
We identified it
Jun 20, 2026
Summary
The Dental Office Reference Manual has been updated with several key changes: MCOs are now responsible for dental reimbursements for enrolled patients, adult dental benefits and fees have been restored, pregnant women now have coverage for five preventive dental services, and new dental codes (D0601, D0602, D0603) are required for school-based dental claims starting August 1, 2014.
Action Required
By August 1, 2014: Billing team must update system to use dental codes D0601, D0602, or D0603 for all All Kids School-Based Dental Program claims to report oral health scores. Update encounter forms and train staff on new MCO billing procedures for enrolled patients. Contact DentaQuest at 888-281-2076 for DORM manual and guidance on pregnant women's preventive benefits.