MedicaidCoverageMedium impact
Breast Cancer Screenings
Illinois Medicaid - HFS·IL · Family Medicine, General Practice, Internal Medicine +1 more·Provider Notice
Effective date
Oct 23, 2014
We identified it
Jun 20, 2026
Summary
Illinois HFS reminds providers about covered breast cancer screening services during Breast Cancer Awareness Month. The policy confirms continued coverage for baseline mammograms between ages 35-40 and annually thereafter per Illinois state law.
Action Required
Billing team should ensure breast cancer screening services are being properly billed according to Illinois state payment codes. Verify mammogram claims include baseline screenings for patients aged 35-40 and annual screenings thereafter. Consider offering BRCA genetic testing and counseling for high-risk patients.