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MedicaidCoverageMedium impact

Perinatal Depression Screening and Objective Developmental Screening

Illinois Medicaid - HFS·IL · Psychiatry, Pediatrics, OB-GYN·Provider Notice
Effective date
Jul 1, 2007
We identified it
Jun 21, 2026
Days to comply

Summary

HFS (Illinois Medicaid) began reimbursing community mental health providers for perinatal depression screening and objective developmental screening for children, effective July 1, 2007. These services are now billable only to HFS directly for HFS-enrolled children and pregnant/postpartum women.

Action Required

Action needed
Community mental health providers should verify they can bill HFS directly using HCPCS H1000 and CPT 99420 with modifier HD for perinatal depression screening, and CPT 96110/96111 for developmental screening. Review HFS-approved developmental screening tools in the Healthy Kids Manual Topic HK-203.53. Ensure proper documentation and follow-up plans are incorporated in clinical records.

Affected Billing Codes

H1000
99420
96110
96111