MedicaidCoverageMedium impact
Confirmation of Coverage for Remote Ultrasounds per Public Act 103-0593
Illinois Medicaid - HFS·IL · OB-GYN, Radiology·Provider Notice
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
Illinois Medicaid will now cover remote ultrasound procedures and fetal nonstress tests performed at the patient's home or other off-site locations, effective January 1, 2025. Providers must use FDA-approved, HIPAA-compliant digital technology and will use Place of Service code '12' to designate the patient's home.
Action Required
Before January 1, 2025: Billing team must update system to accept Place of Service code '12' for remote ultrasound and fetal nonstress test procedures for Illinois Medicaid patients. Ensure technology platforms used are FDA-approved and HIPAA-compliant. Update encounter forms to include POS code 12 option for qualifying remote procedures.