MedicaidCoverageLow impact
Confirmation of Coverage for Peripheral Artery Disease (PAD) Screening Testing per Public Act 104-0379
Illinois Medicaid - HFS·IL · Cardiology, Vascular Surgery, Internal Medicine +1 more·Provider Notice
Effective date
Jan 1, 2027
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services confirms that Peripheral Artery Disease (PAD) screening testing is already covered as medically necessary under Medicaid fee-for-service and managed care organizations. Public Act 104-0379 mandates this coverage effective January 1, 2027, but no billing changes are needed since coverage already exists.
Action Required
No immediate action required. Continue billing PAD screening tests as medically necessary for Illinois Medicaid patients. For questions, contact Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable MCO.