MedicaidCoverageHigh impact
Elimination of Chiropractic Services for Participants 21 Years of Age and Older
Illinois Medicaid - HFS·IL · Chiropractic·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
Medicaid is eliminating chiropractic services coverage for participants 21 years and older effective July 1, 2012. Coverage continues only for patients under 21 with spinal subluxation diagnoses, and claims must include subluxation diagnosis codes or will be rejected with error code G50.
Action Required
Immediately: Stop billing chiropractic services for Medicaid patients 21 years and older. For patients under 21, ensure all chiropractic claims include spinal subluxation diagnosis codes. Update billing system to flag age verification and diagnosis requirements. Reference Chiropractic Fee Schedule on HFS website for allowable procedure codes. Claims without subluxation diagnosis will reject with error code G50.