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Illinois Medicaid Policy and Recommendation for Routine Human Immunodeficiency Virus (HIV) Screening

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jun 19, 2014
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois Medicaid now covers routine HIV screening for all adolescents and adults aged 13-64, following CDC recommendations for opt-out testing as part of routine clinical care. This policy reminder encourages all providers to routinely offer HIV testing to eligible Medicaid patients.

Action Required

Action needed
Immediately: All providers should begin routinely offering HIV screening to Medicaid patients aged 13-64. Update clinical workflows to include opt-out HIV testing discussions during routine visits. Ensure staff understand that pre-test counseling is not required - only verbal or written pre-test information. Document patient consent (verbal or written) in medical records. Verify HIV testing is covered under Illinois Medicaid benefits.