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Illinois House Bill Aims to Increase In-Network Options for MH/SUD Services, Effective Jan. 1, 2027
Act
by Dec 31, 2026
Effective date
Jan 1, 2027
Identified
Sep 15, 2026
Summary
Illinois House Bill 1085 (Public Act 104-0446) simplifies network participation for mental health and substance use disorder (MH/SUD) providers effective January 1, 2027. The legislation impacts reimbursement rates, network enrollment timelines, how MH/SUD services are reimbursed, and coverage for behavioral health trainees. Billing teams should monitor for reimbursement rate changes and updated network participation requirements.
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What to do
by Dec 31, 2026 · 4 steps
01Billing team must coordinate with MH/SUD department and compliance to obtain and implement updated reimbursement rates for mental health and substance use disorder services.
02Verify which MH/SUD providers are newly in-network through Blue Cross Blue Shield Illinois.
03Update billing system fee schedules to reflect new reimbursement rates and ensure prior authorization workflows reflect any changes to coverage for behavioral health trainee services.
04Notify providers of rate changes and any updates to eligibility verification.
If missed: Failure to update rates may result in incorrect claim submission and denials.
Original notice
Illinois House Bill Aims to Increase In-Network Options for MH/SUD Services, Effective Jan. 1, 2027
bcbsil.com · Always check the source before changing claims.