MedicaidBilling CodesHigh impact
Dental Office Reference Manual – Reissue; Exhibits A-C Dental Benefits Covered Coding Updates
Illinois Medicaid - HFS·IL · Dentistry, Oral & Maxillofacial Surgery·Provider Notice
We identified it
Sep 5, 2026
Summary
Illinois Department of Financial and Professional Regulation has reissued the Dental Office Reference Manual (DORM) with updates to dental benefits covered coding. Providers must review the updated DORM and Exhibits A-C for coding changes to ensure accurate billing and payment from the Department.
Action Required
Immediately: Billing team and providers must obtain and review the full updated Dental Office Reference Manual (DORM) and Exhibits A-C Dental Benefits Covered document from the Illinois Department of Financial and Professional Regulation. Identify all coding changes in the Revision History section. Update billing software, encounter forms, and internal coding references to reflect the new covered coding requirements. Coordinate with all enrolled dentists and dental providers to ensure compliance. Contact the Bureau of Professional and Ancillary Services at 877-782-5565 with questions about specific coding changes. Failure to implement updated coding may result in claim denials or payment delays.