89 Ill. Adm. Code 1400.140.412
Services Not Covered By Physicians
Section 140
TITLE 89: SOCIAL SERVICES
CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES
SUBCHAPTER d: MEDICAL PROGRAMS
PART 140 MEDICAL PAYMENT
SECTION 140.412 SERVICES NOT COVERED BY PHYSICIANS
Section 140.412 Services Not
Covered By Physicians
Services for which medical
necessity is not clearly established are not covered in the Medical Assistance
Program. Additionally, the following services are specifically excluded from
coverage and payment cannot be made by the Department for the provision of
these services.
a) Experimental
medical or surgical services.
b) Acupuncture.
c) Investigational
and research oriented procedures.
d) Artificial
insemination.
e) Services
prohibited by Illinois or Federal statute.
f) Services
provided in Federal or State institutions.
g) Medical
care provided by mail or telephone.
h) Unkept
appointments.
i) Autopsy
examinations.
j) Preparation
of routine records, forms and reports.
k) Cosmetic procedures, medical or surgical, where projected
results do not relieve a physical or functional handicap.