MedicaidDocumentationMedium impact
Tardive Dyskinesia Screening Guidelines
Illinois Medicaid - HFS·IL · Psychiatry, Internal Medicine, Family Medicine +2 more·Provider Notice
Effective date
Aug 6, 2026
We identified it
Aug 7, 2026
Summary
Illinois HFS has issued new recommended screening guidelines for Tardive Dyskinesia in patients prescribed antipsychotic medications, developed in accordance with Public Act 104-009. Providers should access the screening guidelines training slide deck posted on the HFS website to understand the evidence-based assessment and treatment recommendations.
Action Required
By August 20, 2026: Providers (physicians, PAs, APRNs, clinical social workers, psychologists, and behavioral health clinics) must review the Tardive Dyskinesia screening guidelines training slide deck available on the HFS website at the provided link. Billing team should ensure that when providers screen for Tardive Dyskinesia per these guidelines, appropriate screening and assessment codes are captured in claims (likely G0463 or similar psychiatric assessment codes, though not explicitly listed in this notice). Medical billing staff should monitor for any corresponding CPT/HCPCS coding updates from AMA/CMS. Contact HFS.BBH@illinois.gov with questions regarding implementation or billing implications. Failure to comply with screening guidelines may result in coverage denials or quality measure penalties.