Illinois Administrative Code
Title 89 - SOCIAL SERVICES
Part 140 - MEDICAL PAYMENT
Subpart D - PAYMENT FOR NON-INSTITUTIONAL SERVICES
Section 140.430 - Independent Clinical Laboratory Services

Universal Citation: 89 IL Admin Code ยง 140.430

Current through Register Vol. 48, No. 38, September 20, 2024

a) Payment for clinical laboratory services may be made to a laboratory that is independent both of a physician's practice and of a hospital.

b) In order to participate in the Medical Assistance Program, the independent laboratory must be licensed and certified for participation in the Medicare program. Approval for participation in the program is not transferrable and shall only apply to the location and the owner specified on the laboratory's enrollment application.

c) Payment shall be made for only those laboratory services that have been ordered in writing by the referring practitioner as being essential to diagnosis and treatment. The practitioner must include the diagnosis or condition on the written request.

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