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Alert! Rate Increases to the Medicaid Fee Schedule

We want to thank our members again for their persistent efforts in contacting and educating their legislators on the need for this additional funding. While we are very excited for this legislative win, our work is not done. We will continue, as always, to advocate for you, the members.

The Illinois State Dental Society (ISDS) advocated this past session to increase rates for dental care in the Illinois Medicaid program. ISDS was successful in the pursuit of the increased rates to the extent that $10 million was added to the budget for the rate increases.  

The Illinois Department of Healthcare and Family Services (DHFS) just announced these rate increases to the Medicaid Fee Schedule for select dental services that ISDS helped negotiate and are scheduled to begin January 1, 2022. The specific codes with rate increases can be found by clicking here. DHFS has highlighted the increased codes in yellow.

Highlighted in these new increases are restorative services, dentures, extractions, and anesthesia services.  To review the codes and see if participation in the Medicaid program would work in your practice, please click here to see the full Medicaid fee schedule.

To enroll and learn more about being a provider in the Medicaid program, please contact DHFS by calling 1-877-782-5565 (select option #1) or by going online to https://www2.illinois.gov/hfs/impact/Pages/ContactIMPACT.aspx.

We want to thank our members again for their persistent efforts in contacting and educating their legislators on the need for this additional funding. While we are very excited for this legislative win, our work is not done. We will continue, as always, to advocate for you, the members.

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