The Rates plan
$29/mo7-day free trialThe table on this page is a common-procedure sample. The full Illinois other services schedule has 185 codes.
- Every code on all 51 published schedules
- Full-schedule CSV export
- Full state Medicaid dental network lists
- Email alerts when a state changes its rates
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Published codes
185
Other Services procedures on the 2026 schedule
Median % of Medicare
69.6%
vs national Medicare, GPCI-neutral
Effective vintage
2026
latest effective year on the schedule
Common other services procedures and what Illinois Medicaid pays
A curated sample of recognizable procedures from the 185-code schedule. Rates are the state's published fee-for-service amounts; the percentage compares each rate with the national Medicare amount for the same code.
| Code | Procedure | Illinois rate | % of Medicare |
|---|
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Rows marked * show the schedule's representative published variant.
More Illinois Medicaid fee schedules
- Illinois physician fee schedule · 6,469 codes
- Illinois lab & imaging fee schedule · 2,095 codes
- Illinois dme & supplies fee schedule · 1,563 codes
- Illinois drugs fee schedule · 782 codes
- Illinois vision fee schedule · 82 codes
- Illinois hearing fee schedule · 45 codes
Other Services rates in neighboring states
Frequently asked questions
What does Illinois Medicaid pay for other covered services?
Illinois Medicaid publishes 185 other services procedure rates effective 2026, paying a median 69.6% of the national Medicare amount for the same services. The schedule covers clinic encounters, screenings, and state-specific service codes. The table on this page shows published rates for common procedures; the complete all-codes schedule is available as a CSV download with a ProviderSignal Rates subscription.
How do Illinois's other services rates compare with Medicare?
Across other services codes with a national Medicare comparator, Illinois Medicaid pays a median 69.6% of the Medicare amount (GPCI-neutral national comparison). Individual codes vary widely, so check the per-code percentage in the table.
Do other services services need prior authorization in Illinois?
Illinois does not publish prior-authorization indicators on this fee schedule, so PA requirements must be confirmed through the state's provider manual or portal. Absence of a flag here means "not published", never "no PA required".
Where do these rates come from?
Directly from Illinois's published Medicaid fee-for-service schedule (effective 2026), collected and normalized by ProviderSignal across all 50 states + DC. Rates are re-collected on a rolling schedule and this page updates automatically. Procedure descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.
Get an email the next time Illinois changes these rates.