§2210.520. Covered Services

Latest version.

a)         Covered and optional services of the Program include services provided within the scope of their licenses by practitioners in all categories licensed under the Illinois Medical Practice Act of 1987 [225 ILCS 60].

b)         The Director shall determine the type of services (e.g., office visits, inpatient, outpatient, diagnostic) to be covered by the Basic Health Plan and any Optional Health Plans offered under the Program.

c)         The Director shall determine the amount of coverage available and any applicable Member cost-sharing for each service covered by the Basic Health Plan or any Optional Health Plan.

d)         The Agency, either directly or through its contracted Plan Administrators, shall make information regarding covered services available to all Members and Dependents.

                    
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