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Elizabeth M. Whitehorn, Director

Provider Notice Issued 11/05/2021

Date:    November 5, 2021

To:       Enrolled Chiropractors

Re:      Reinstatement of Adult Chiropractic Services per Public Act 102-0043

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 This notice informs providers that the Department is reinstating chiropractic services for adults age 21 and older pursuant to Public Act 102-0043, effective with dates of service on and after December 1, 2021. This policy affects both the Medicaid fee-for-service program and the HealthChoice Illinois managed care plans.

The Department is reinstating chiropractic services for adults provided by a chiropractic physician licensed under the Medical Practice Act of 1987 and acting within the scope of his or her license. Services are limited to chiropractic manipulative treatment as identified in the Chiropractor Fee Schedule to correct spinal subluxation.

Procedure Codes: 

  • 98940 - Chiropractic manipulative treatment, spinal, 1-2 region
  • 98941 - Chiropractic manipulative treatment, spinal, 3-4 region
  • 98942 - Chiropractic manipulative treatment, spinal, 5 regions

 
HFS is awaiting approval from the federal Centers for Medicare & Medicaid Services (CMS) before initiating payment of fee-for-service (FFS) adult claims. Adult FFS claims with dates of service beginning December 1, 2021 will be held by HFS until CMS approval is given and then released into processing. HealthChoice Illinois managed care plans will be ready to process adult chiropractic claims beginning December 1, 2021.

Questions regarding this notice may be directed to a billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable managed care plan.

 
Kelly Cunningham, Administrator
Division of Medical Programs