MedicaidCoverageLow impact
Confirmation of Coverage for Reconstructive Services per Public Act 103-00123
Illinois Medicaid - HFS·IL · Plastic Surgery, General Surgery, Orthopedics·Provider Notice
Effective date
Oct 11, 2023
We identified it
Jun 20, 2026
Summary
Illinois Department of Healthcare and Family Services confirms that reconstructive services for trauma-related physical appearance restoration are covered under the Medical Assistance Program per Public Act 103-0123. No coverage changes are necessary as these services are already covered under both fee-for-service and managed care plans.
Action Required
No immediate action required. This is a confirmation notice that existing coverage for medically necessary reconstructive services to restore physical appearance after trauma continues unchanged under Illinois Medicaid fee-for-service and managed care plans.