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Illinois Medicaid - HFSMedicaid · Coverage · Provider Notice · IL · Cardiology, Vascular Surgery, Internal Medicine +1 moreLow impact

Confirmation of Coverage for Peripheral Artery Disease (PAD) Screening Testing per Public Act 104-0379

Effective date
Jan 1, 2027
Identified
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.

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What to do

Action · 3 steps
01No immediate action required.
02Continue billing PAD screening tests as medically necessary for Illinois Medicaid patients.
03For questions, contact Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable MCO.

Original notice

Confirmation of Coverage for Peripheral Artery Disease (PAD) Screening Testing per Public Act 104-0379
hfs.illinois.gov · Always check the source before changing claims.
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Related policy hubs

Illinois Medicaid - HFS policiesIL policy changesCardiologyVascular SurgeryInternal MedicineFamily Medicine

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