Ill. Admin. Code tit. 89, § 140.6 - Medical Services Not Covered

The following services are not covered under the Department's medical assistance programs:

a) Services available without charge;

b) Services prohibited by State or federal law;

c) Experimental procedures;

d) Research oriented procedures; other than those described in Section 140.3(b)(27) and 140.3(c)(23);

e) Medical examinations required for entrance into educational or vocational programs;

f) Autopsy examinations;

g) Artificial insemination;

h) Medical or surgical procedures performed for cosmetic purposes;

i) Medical or surgical transsexual treatment, for dates of service prior to April 1, 2015;

j) Diagnostic and/or therapeutic procedures related to primary infertility/sterility;

k) Subsequent treatment for venereal disease, when those services are available through State and/or local health agencies;

l) Medical care provided by mail or telephone;

m) Unkept appointments;

n) Non-medically necessary items and services provided for the convenience of recipients and/or their families; and

o) Preparation of routine records, forms and reports.

p) Visits with persons other than a recipient, such as family members or group care facility staff.

Notes

Ill. Admin. Code tit. 89, § 140.6

Amended at 38 Ill. Reg. 12141, effective 5/30/2014 Amended at 38 Ill. Reg. 23623, effective 12/2/2014 Amended at 43 Ill. Reg. 4094, effective 3/25/2019 Amended at 46 Ill. Reg. 18061, effective 10/27/2022 Amended at 49 Ill. Reg. 4026, effective 3/20/2025