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Illinois Medicaid - HFSMedicaid · Documentation · Provider Notice · IL · Psychiatry, Internal Medicine, Family Medicine +2 moreMedium impact

Tardive Dyskinesia Screening Guidelines

Act
by Aug 20, 2026
Effective date
Aug 6, 2026
Identified
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.

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What to do

by Aug 20, 2026 · 4 steps
01Providers (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.
02Billing 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).
03Medical billing staff should monitor for any corresponding CPT/HCPCS coding updates from AMA/CMS.
04Contact HFS.BBH@illinois.gov with questions regarding implementation or billing implications.
If missed: Failure to comply with screening guidelines may result in coverage denials or quality measure penalties.

Original notice

Tardive Dyskinesia Screening Guidelines
hfs.illinois.gov · Always check the source before changing claims.
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Related policy hubs

Illinois Medicaid - HFS policiesIL policy changesPsychiatryInternal MedicineFamily MedicineGeneral PracticeGeriatrics

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