Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES
Section 140.412 - Services Not Covered By Physicians
Current through Register Vol. 48, No. 38, September 20, 2024
Services for which medical necessity is not clearly established are not covered in the Medical Assistance Program. Additionally, the following services are specifically excluded from coverage and payment cannot be made by the Department for the provision of these services.
a) Experimental medical or surgical services.
b) Acupuncture.
c) Investigational and research oriented procedures.
d) Artificial insemination.
e) Services prohibited by Illinois or Federal statute.
f) Services provided in Federal or State institutions.
g) Medical care provided by mail or telephone.
h) Unkept appointments.
i) Autopsy examinations.
j) Preparation of routine records, forms and reports.
k) Cosmetic procedures, medical or surgical, where projected results do not relieve a physical or functional handicap.
