Section 140.412  Services Not Covered By Physicians

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.

(Source:  Amended at 44 Ill. Reg. 226, effective December 23, 2019)