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Injections for Chronic Pain Conditions - MEDICAID - ILLINOIS (New)
Effective date
May 22, 2026
Identified
Jun 24, 2026
Summary
New Medicaid policy in Illinois establishing coverage criteria for chronic pain injections including epidural steroid injections, trigger point injections, and nerve blocks. The policy requires 4 weeks of failed conservative treatment and limits injection frequency and locations per session.
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What to do
Action · 4 steps
01Before May 22, 2026: Billing team must update prior authorization requirements for Illinois Medicaid chronic pain injection claims (CPT 62321, 62323).
02Ensure documentation includes 4 weeks failed conservative treatment, radicular pain evidence, and real-time imaging guidance.
03Update billing system to enforce session limits: maximum 1 nerve root level for caudal/interlaminar approaches, maximum 2 injections for transforaminal approaches.
04Claims without proper documentation will be denied.
Codes mentioned
6232162323
Original notice
Injections for Chronic Pain Conditions - MEDICAID - ILLINOIS (New)
mcp.humana.com · Always check the source before changing claims.
Related changes
See all Humana changes →Injections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (Revised)HighEffective Jul 29, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - KENTUCKY (Revised)HighEffective Jul 15, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - OKLAHOMA (New)HighEffective Jan 7, 2026 · MedicaidInjections for Chronic Pain Conditions - MEDICAID - MICHIGAN (New)HighEffective May 22, 2026 · MedicaidBrowse every Humana change in the policy list