TO: All Early Intervention Providers
FROM: Benjamin Delgado, Jr., Chief
Bureau of Early Intervention
DATE: June 26, 2025
RE: Early Intervention Provider Information Notice-Rate Increase Effective July 1, 2025
We are pleased to inform you that, as a result of the Governor JB Pritzker's recent signing of the FY26 Budget, the rate increases outlined in the April 23, 2025 PIN have been approved. That PIN may be found here -
April 23, 2025 Early Intervention Provider Information Notice (.pdf)
This rate increase will be effective for dates of service beginning on and after July 1, 2025. The rate schedule below outlines the rate changes for the applicable procedure codes. Service Coordination is also included and will be reflected in the calculation for Targeted Case Management and the baseline for our Service Coordinators with Child and Family Connections offices. We ask that you please update your usual and customary rates accordingly.
As many of you are aware, our state's fiscal year ends on June 30, 2025, and the new fiscal year (FY26) will begin on July 1, 2025. Due to the change of the fiscal year, any dates of service from July 1-7, 2025, billed to the Central Billing Office (CBO) will appear on the July 9, 2025 voucher and provider claim summary, rather than the July 2, 2025 documents. The July 9, 2025 voucher will be the first issued for FY26.
We value the significant role you play in the lives of children and families receiving early intervention services and appreciate your dedication to improving outcomes for those in need. This achievement could not have been possible without all of you who contributed to its success. Together, we will continue to create a brighter future for our communities through the provision of high-quality early intervention services.
AUDIOLOGY PROCEDURE CODES
| Procedure Codes |
Unit of Service |
Description |
Rate |
| V5010 |
N/A |
Hearing aid assessment |
$84.17 |
| V5008 |
N/A |
Hearing Screening |
$70.20 |
| 92551 |
N/A |
Screen test, pure tone, air only |
$18.63 |
| 92552 |
N/A |
Pure tone audiometry (threshold), air only |
$18.63 |
| 92553 |
N/A |
Audiometry, air and bone |
$18.63 |
| 92555 |
N/A |
Speech audiometry threshold |
$18.63 |
| 92556 |
N/A |
Speech audiometry threshold; (with speech recognition) |
$18.63 |
| 92557 |
N/A |
Comprehensive audiometry; (includes 92553 and 92556) |
$45.82 |
| 92567 |
N/A |
Tympanometry |
$18.63 |
| 92568 |
N/A |
Acoustic reflex testing; threshold |
$16.79 |
| 92579 |
N/A |
Visual reinforcement audiometry (VRA) |
$27.13 |
| 92582 |
N/A |
Conditioning play audiometry |
$27.13 |
| 92583 |
N/A |
Select picture audiometry |
$18.55 |
| 92585 |
N/A |
Brainstem evoked response rec. (no anesthesia) |
$65.80 |
| 92587 |
N/A |
Evoked otoacoustic emissions: limited (single level, either transient or distortion products) (no anesthesia) |
$64.58 |
| 92588 |
N/A |
Evoked otoacoustic emissions, comprehensive or diagnostic evaluation (Comparison of transient and/or distortion product otoacoustic emissions at multiple levels and frequencies) |
$74.75 |
| 92592 |
N/A |
Hearing aid check; monaural |
$18.63 |
| 92593 |
N/A |
Hearing aid check; binaural |
$18.63 |
| 92594 |
N/A |
Electroacoustic evaluation for Hearing aid; monaural |
$18.63 |
| 92595 |
N/A |
Electroacoustic evaluation for Hearing aid; binaural |
$18.63 |
| 92622 |
|
Diagnostic Analysis, Program of Asseointegrated Processr, 1st 60 min. |
$58.06 |
| 92623 |
|
Diagnostic Analysis, Program of Asseointegrated Processr, EA Additonal 15 min. |
$15.81 |
AURAL REHABILITATION (A/R) PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 92626 |
|
15 minutes |
A/R assessment - onsite |
$17.81 |
| 92626 |
|
15 minutes |
A/R assessment - offsite |
$22.22 |
| 99499 |
SC |
15 minutes |
A/R IFSP development |
$17.81 |
| 99499 |
SC |
15 minutes |
A/R IFSP meeting |
$22.22 |
| 92507 |
TL |
15 minutes |
A/R services - onsite |
$17.81 |
| 92507 |
TL |
15 minutes |
A/R services - offsite |
$22.22 |
| 92508 |
TL |
15 minutes |
Group A/R services (multiple families or group not to exceed 4 children) |
$9.66 |
DEVELOPMENTAL THERAPY PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 96112 |
|
15 minutes |
Evaluation/Assessment - onsite |
$14.30 |
| 96112 |
|
15 minutes |
Evaluation/Assessment - offsite |
$18.04 |
| 99499 |
TL |
15 minutes |
IFSP Development - onsite |
$14.30 |
| 99499 |
TL |
15 minutes |
IFSP Development - offsite |
$18.04 |
| 99499 |
TL |
15 minutes |
IFSP Meeting |
$18.04 |
| T1027 |
|
15 minutes |
Individual DT - onsite |
$14.30 |
| T1027 |
|
15 minutes |
Individual DT - offsite |
$18.04 |
| T1027 |
HQ |
15 minutes |
Group DT (multiple families or group not to exceed 4 children) |
$3.59 |
Billing codes for Vision Services for EI are found under the service description entitled "Vision." Billing codes for Aural Rehabilitation and related services for EI are found under the service description entitled "Audiology, Aural Rehabilitation and Other Related Services."
HEALTH CONSULTATION PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 99211 |
|
N/A |
Office or other outpatient visit (Approximately 5 minutes) |
$40.87 |
| 99212 |
|
N/A |
Office or other outpatient visit (Approximately 10 minutes) |
$40.87 |
| 99213 |
|
N/A |
Office or other outpatient visit (Approximately 15 minutes) |
$40.87 |
| 99214 |
|
N/A |
Office or other outpatient visit (Approximately 25 minutes) |
$40.87 |
| 99215 |
|
N/A |
Office or other outpatient visit (Approximately 40 minutes) |
$40.87 |
| 99371 |
|
|
Health/Physician to EI Provider |
|
| 99372 |
|
|
Health/Physician to EI eligible Family |
|
INTERPRETATION AND TRANSLATION SERVICES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| T1013 |
|
15 minutes |
Family training and support -onsite |
$12.50 |
| T1013 |
|
15 minutes |
Family training and support - offsite |
$15.76 |
| T1013 |
HQ |
15 minutes |
Group family training and support (multiple families or group with one provider and not more than four children) |
$3.12 |
CODES FOR USE BY INTERPRETERS FOR THE DEAF, ONLY
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| T1013 |
HT |
15 minutes |
Family training and support - onsite |
$12.50 |
| T1013 |
HT |
15 minutes |
Family training and support - offsite |
$15.76 |
| T1013 |
HQ & HT |
15 minutes |
Group family training and support (multiple families or group with one provider and not more than four children) |
$3.12 |
CODES FOR USE BY TRANSLATORS ONLY
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| T1013 |
TL |
15 minutes |
Family training and support -onsite |
$12.50 |
MEDICAL DIAGNOSTIC PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 99245 |
|
|
Medical Diagnostic Evaluation |
$235.10 |
NURSING PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| T1001 |
|
15 minutes |
Assessment- onsite |
$13.29 |
| T1001 |
|
15 minutes |
Assessment - offsite |
$16.75 |
| 99499 |
TD |
15 minutes |
IFSP development - onsite |
$13.29 |
| 99499 |
TD |
15 minutes |
IFSP development - offsite |
$16.75 |
| 99499 |
TD |
15 minutes |
IFSP meeting |
$16.75 |
| T1002 |
|
15 minutes |
Nursing services - onsite |
$13.29 |
| T1002 |
|
15 minutes |
Nursing services - offsite |
$16.75 |
| T1002 |
HQ |
15 minutes |
Group Nursing services (multiple families or group not to exceed 4 children) |
$3.33 |
See "Nutrition" for additional service activities and billing codes
NUTRITION PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 97802 |
|
15 minutes |
Assessment - onsite |
$24.85 |
| 97802 |
|
15 minutes |
Assessment - offsite |
$30.66 |
| 99499 |
HA |
15 minutes |
IFSP development - onsite |
$24.85 |
| 99499 |
HA |
15 minutes |
IFSP development - offsite |
$30.66 |
| 99499 |
HA |
15 minutes |
IFSP meeting |
$30.66 |
| 97803 |
|
15 minutes |
Nutrition services - onsite |
$24.85 |
| 97803 |
|
15 minutes |
Nutrition services - offsite |
$30.66 |
| 97803 |
|
15 minutes |
Group Nutrition services (multiple families or group not to exceed 4 children) |
$6.20 |
OCCUPATIONAL THERAPY PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 96112 |
GO |
15 minutes |
Evaluation/Assessment - onsite |
$17.81 |
| 96112 |
GO |
15 minutes |
Evaluation/Assessment - offsite |
$22.22 |
| 99499 |
GO |
15 minutes |
IFSP development - onsite |
$17.81 |
| 99499 |
GO |
15 minutes |
IFSP development - offsite |
$22.22 |
| 99499 |
GO |
15 minutes |
IFSP meeting |
$22.22 |
| 97530 |
|
15 minutes |
Individual therapy - onsite |
$17.81 |
| 97530 |
|
15 minutes |
Individual therapy - offsite |
$22.22 |
| 97150 |
|
15 minutes |
Group therapy (multiple families or group not to exceed 4 children) |
$9.66 |
PHYSICAL THERAPY PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 96112 |
GP |
15 minutes |
Evaluation/Assessment - onsite |
$18.32 |
| 96112 |
GP |
15 minutes |
Evaluation/Assessment - offsite |
$22.85 |
| 99499 |
GP |
15 minutes |
IFSP development - onsite |
$18.32 |
| 99499 |
GP |
15 minutes |
IFSP development - offsite |
$22.85 |
| 99499 |
GP |
15 minutes |
IFSP meeting |
$22.85 |
| 97110 |
|
15 minutes |
Individual therapy - onsite |
$18.32 |
| 97110 |
|
15 minutes |
Individual therapy - offsite |
$22.85 |
| 97150 |
SE |
15 minutes |
Group therapy (multiple families or group not to exceed 4 children) |
$9.94
|
PSYCHOLOGICAL AND OTHER COUNSELING PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 96156 |
|
15 minutes |
Evaluation/Assessment - onsite |
$20.28 |
| 96156 |
|
15 minutes |
Evaluation/Assessment - offsite |
$25.18 |
| 99499 |
UK |
15 minutes |
IFSP development - onsite |
$20.28 |
| 99499 |
UK |
15 minutes |
IFSP development - offsite |
$25.18 |
| 99499 |
UK |
15 minutes |
IFSP meeting |
$25.18 |
| 96158 |
|
15 minutes |
Individual treatment - onsite |
$20.28 |
| 96158 |
|
15 minutes |
Individual treatment - offsite |
$25.18 |
| 96164 |
|
15 minutes |
Group treatment (multiple families or group not to exceed 4 children) |
$5.06 |
SOCIAL WORK AND OTHER COUNSELING PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 90791 |
|
15 minutes |
Evaluation/Assessment - onsite |
$13.53 |
| 90791 |
|
15 minutes |
Evaluation/Assessment - offsite |
$16.28 |
| 99499 |
SE |
15 minutes |
IFSP development - onsite |
$13.53 |
| 99499 |
SE |
15 minutes |
IFSP development - offsite |
$16.28 |
| 99499 |
SE |
15 minutes |
IFSP meeting |
$16.28 |
| H0004 |
|
15 minutes |
Individual treatment - onsite |
$13.53 |
| H0004 |
|
15 minutes |
Individual treatment - offsite |
$16.28 |
| H0004 |
HQ |
15 minutes |
Group treatment (multiple families or group not to exceed 4 children) |
$3.38 |
SPEECH LANGUAGE THERAPY PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 92521 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Fluency) |
$17.81 |
| 92521 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Fluency) |
$22.22 |
| 92522 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Sound Production) |
$17.81 |
| 92522 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Sound Production) |
$22.22 |
| 92523 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Sound Production with language comprehension and expression) |
$17.81 |
| 92523 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Sound Production with language comprehension and expression) |
$22.22 |
| 92524 |
|
15 minutes |
Evaluation/Assessment - onsite (Behavioral and qualitative analysis of voice and resonance) |
$17.81 |
| 92524 |
|
15 minutes |
Evaluation/Assessment - offsite (Behavioral and qualitative analysis of voice and resonance) |
$22.22 |
| 92610 |
|
15 minutes |
Evaluation/Assessment - onsite (oral & pharyngeal swallowing function) |
$17.81 |
| 92610 |
|
15 minutes |
Evaluation/Assessment - offsite (oral & pharyngeal swallowing function) |
$22.22 |
NOTE: Authorizations will display 92506; however, Evaluations/Assessments must be billed using the appropriate code(s), listed above.
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 92521 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Fluency) |
$17.81 |
| 92521 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Fluency) |
$22.22 |
| 92522 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Sound Production) |
$17.81 |
| 92522 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Sound Production) |
$22.22 |
| 92523 |
|
15 minutes |
Evaluation/Assessment - onsite (Speech Sound Production with language comprehension and expression) |
$17.81 |
| 92523 |
|
15 minutes |
Evaluation/Assessment - offsite (Speech Sound Production with language comprehension and expression) |
$22.22 |
| 92524 |
|
15 minutes |
Evaluation/Assessment - onsite (Behavioral and qualitative analysis of voice and resonance) |
$17.81 |
| 92524 |
|
15 minutes |
Evaluation/Assessment - offsite (Behavioral and qualitative analysis of voice and resonance) |
$22.22 |
| 92610 |
|
15 minutes |
Evaluation/Assessment - onsite (oral & pharyngeal swallowing function) |
$17.81 |
| 92610 |
|
15 minutes |
Evaluation/Assessment - offsite (oral & pharyngeal swallowing function) |
$22.22 |
See "Audiology, Aural Rehabilitation and Other Related Services" for additional service activities and billing codes for EI. Provider MUST have authorization prior to billing those codes.
TRANSPORTATION PROCEDURE CODES
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| A0120 |
N/A |
N/A |
Service car, base rate |
Varies |
| A0120 |
N/A |
N/A |
Service car, return |
Varies |
| A0425 |
N/A |
N/A |
Service car, mileage |
Varies |
| T2001 |
N/A |
N/A |
Non-employee attendant |
Varies |
| A0100 |
N/A |
N/A |
Taxi, base rate |
Varies |
| A0100 |
N/A |
N/A |
Taxi, return |
Varies |
| A0425 |
N/A |
N/A |
Taxi, mileage |
Varies |
| T2001 |
N/A |
N/A |
Non-employee attendant |
Varies |
| A0090 |
N/A |
*Varies |
Private auto mileage (parents transporting their own children) |
$0.30 |
VISION PROCEDURE CODES
Procedure codes listed above are for use to determine the need for eyeglasses, to dispense eyeglasses and tomake a referral to a licensed physician for medical testing, if needed.
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| 92015 |
|
N/A |
Optometric examination |
$37.90 |
| 92340 |
|
N/A |
Dispensing fee |
$38.96 |
Procedure Codes listed below are for use by Illinois Department of Corrections only.
| Procedure Codes |
Modifier |
Unit of Service |
Description |
Rate |
| V2020 |
|
N/A |
Frame |
Varies |
| V2025 |
|
N/A |
Frame |
Varies |
| Varies |
|
N/A |
Pair of lenses (same Rx) |
Varies |
| Varies |
|
N/A |
Right lens (different Rx) |
Varies |
| Varies |
|
N/A |
Left lens (different Rx) |
Varies |
| 99199 |
|
15 minutes |
Assessment - onsite |
$14.30 |
| 99199 |
|
15 minutes |
Assessment - offsite |
$18.04 |
| 99499 |
|
15 minutes |
IFSP development - onsite |
$14.30 |
| 99499 |
|
15 minutes |
IFSP development - offsite |
$18.04 |
| 99499 |
|
15 minutes |
IFSP meeting |
$18.04 |
| V2799 |
|
15 minutes |
Vision services - onsite |
$14.30 |
| V2799 |
|
15 minutes |
Vision services - offsite |
$18.04 |
| V2799 |
HQ |
15 minutes |
Group vision services (multiple families or group not to exceed 4 children) |
$3.59 |
