MedicaidAdministrativeMedium impact
Behavioral Health Risk Assessment of Children and Adolescents
Illinois Medicaid - HFS·IL · Pediatrics, Family Medicine, General Practice +1 more·Provider Notice
Effective date
Mar 12, 2013
We identified it
Jun 20, 2026
Summary
This Illinois HFS provider notice reinforces existing policy requirements for conducting behavioral health risk assessments during well-child examinations for children and adolescents. Providers must use approved screening instruments to identify mental health and substance abuse issues, with reimbursement available for completing these assessments.
Action Required
Illinois providers should review existing workflows to ensure behavioral health risk assessments are being conducted during well-child visits using approved screening instruments (Mental Health Screening Instrument, Substance Abuse Screening Instrument, or AMA GAPS questionnaires). Billing team should verify that reimbursement is being captured for completion of Younger Adolescent Questionnaire or Middle-Older Adolescent Questionnaire. Ensure referral processes are in place for mental health crisis situations to CARES line at 1-800-345-9049.