Illinois Medicaid MNT coverage: codes and who can bill
The short answerIllinois Medicaid doesn't pay dietitians for MNT directly. On the HFS practitioner fee schedule effective July 1, 2026, 97802, 97803, G0270 and G0271 carry indicator 09, Qualified Medicare Beneficiary coverage only, and we found no dietitian provider type. The covered alternative is diabetes self-management education billed by accredited or recognized programs.
By Javier Alvarez · Updated · 1 min read
1 row: Medicaid (by state) · Illinois. Public policy, not the member's benefits.
Illinois Medicaid
Medicaid (HFS) · Illinois
| 97802 | Limited (indicator 09: QMB coverage only) [1][2] |
|---|---|
| 97803 | Limited (indicator 09: QMB coverage only) [1][2] |
| G0270 | Limited (indicator 09: QMB coverage only) [1][2] |
| G0271 | Limited (indicator 09: QMB coverage only) [1][2] |
| Diagnoses | Not published: call the payer. |
| Telehealth POS | Not published: call the payer. |
| Telehealth modifier | Not published: call the payer. |
| Visit limits | Not published: call the payer. |
| Referral and prior auth | Not published: call the payer. |
| Who can bill | No dietitian provider type found. [1] |
| Also | Covered alternative: DSMES (G0108, G0109) by ADCES-accredited or ADA-recognized organizations, up to 18 hours per 12 months (3 individual, 15 group). [3] |
- Illinois HFS: Practitioner Fee Schedule, eff. 07/01/2026, updated 09/15/2026 (PDF), checked September 28, 2026
- Illinois HFS: Practitioner Fee Schedule key, eff. 07/01/2026 (PDF), checked September 28, 2026
- Illinois HFS: Provider notice, updates to diabetes management programs (Jul 29, 2022), checked September 28, 2026
Check a Medicaid claim against the row
Before an Illinois Medicaid claim goes out, compare it with the row above: the code is one the policy lists, the place of service and modifier match for a video visit, and the units fit the limit. Change the filters to compare Medicaid with another payer, then download the PDF of what you see. More on the Illinois Medicaid coverage guide.