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Illinois Medicaid - HFSMedicaid · Coverage · Provider Notice · IL · Endocrinology, Genetics, Urology +1 moreLow impact

Confirmation of Coverage for Karyotype and Hormone Related Testing to Diagnose Klinefelter Syndrome per Public Act 104-0073

Effective date
Jan 1, 2027
Identified
Jun 20, 2026

Summary

Illinois Medicaid confirms existing coverage for karyotype and hormone testing to diagnose Klinefelter syndrome, as required by Public Act 104-0073. No billing changes are needed since coverage is already provided under fee-for-service and managed care programs.

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What to do

Action · 3 steps
01No action required.
02This is a confirmation notice that existing coverage for Klinefelter syndrome diagnostic testing will continue.
03Illinois Medicaid providers can continue billing for karyotype and hormone testing as currently practiced.

Original notice

Confirmation of Coverage for Karyotype and Hormone Related Testing to Diagnose Klinefelter Syndrome per Public Act 104-0073
hfs.illinois.gov · Always check the source before changing claims.
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Related policy hubs

Illinois Medicaid - HFS policiesIL policy changesEndocrinologyGeneticsUrologyPediatrics

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