MedicaidCoverageLow impact
Confirmation of Hormone Therapy Coverage Effective January 1, 2024, per Public Act 102-0804
Illinois Medicaid - HFS·IL · OB-GYN, Endocrinology·Provider Notice
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid confirms coverage of hormone therapy for menopause induced by hysterectomy, effective January 1, 2024. No changes are needed to current billing practices as this coverage was already in place for cases where ovaries were also removed.
Action Required
No action required: Illinois Medicaid already covers medically necessary hormone therapy for hysterectomy cases. This notice confirms existing coverage will continue under both fee-for-service and managed care plans.