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(410 ILCS 225/6) (from Ch. 111 1/2, par. 7026)
Sec. 6. Covered services.
(a) Covered services under the program may
include, but are not necessarily limited to, the following:
(1) Laboratory services related to a recipient's |
| pregnancy, performed or ordered by a physician, advanced practice registered nurse, or physician assistant.
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(2) Screening and treatment for sexually transmitted
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(3) Prenatal visits to a physician in the physician's
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| office, an advanced practice registered nurse in the advanced practice registered nurse's office, a physician assistant in the physician assistant's office, or to a hospital outpatient prenatal clinic, local health department maternity clinic, or community health center.
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(4) Radiology services which are directly related to
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| the pregnancy, are determined to be medically necessary and are ordered by a physician, an advanced practice registered nurse, or a physician assistant.
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(5) Pharmacy services related to the pregnancy.
(6) Other medical consultations related to the
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(7) Physician, advanced practice registered nurse,
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| physician assistant, or nurse services associated with delivery.
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(8) One postnatal office visit within 60 days after
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(9) Two EPSDT-equivalent screenings for the infant
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| within 90 days after birth.
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(10) Social and support services.
(11) Nutrition services.
(12) Case management services.
(b) The following services shall not be covered under the program:
(1) Services determined by the Department not to be
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(2) Services not directly related to the pregnancy,
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| except for the 2 covered EPSDT-equivalent screenings.
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(3) Hospital inpatient services.
(4) Anesthesiologist and radiologist services during
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| a period of hospital inpatient care.
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(5) Physician, advanced practice registered nurse,
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| and physician assistant hospital visits.
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(6) Services considered investigational or
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(Source: P.A. 100-513, eff. 1-1-18.)
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