MedicaidBilling CodesMedium impact
Updates to the Ambulatory Procedures Listing (APL) and Expensive Drugs and Devices Listing for January 1, 2006
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2006
We identified it
Jun 21, 2026
Summary
Illinois updated the Ambulatory Procedures Listing (APL) and Expensive Drugs and Devices Listing effective January 1, 2006, removing obsolete CPT/HCPCS codes and restoring APL group rates to pre-July 2004 levels. Claims spanning January 1, 2006 must be split to ensure correct pricing.
Action Required
For services spanning January 1, 2006: Billing team must split claims to ensure correct pricing between old and new rate structures. Download updated APL and Expensive Drugs/Devices listings from Illinois HFS website at hfs.illinois.gov/reimbursement/apl.html and hfs.illinois.gov/reimbursement/expensive.html. Update billing system to reflect new CPT/HCPCS codes and remove obsolete codes. Contact Bureau of Comprehensive Health Services at 877-782-5565 for questions.