§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)         Acupuncture;

 

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

 

m)        Medical care provided by mail or telephone;

 

n)         Unkept appointments;

 

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

 

p)         Preparation of routine records, forms and reports; and

 

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

 

(Source:  Amended at 46 Ill. Reg. 18061, effective October 27, 2022)