89 Ill. Adm. Code 140.432
Limitations on Independent Clinical Laboratory Services
Section 140
Section 140.432 Limitations on Independent Clinical
Laboratory Services
The Department shall pay for the following services only
when they are provided in accordance with the limitations specified:
a) Vitamin
B-12 testing – only in those cases in which a completed blood count has shown a
macrocytic hormochromic anemia and a high lactic dehydrogenase.
b) Home
Visits – only when the recipient's attending physician indicates on the order
that the recipient is physically unable to travel to the laboratory and if it
is the custom of the laboratory to charge the general public a home visit fee
in addition to the fee for the laboratory service.
c) Routine,
multi-channel (battery) tests – only those instances where the tests performed
are consistent with the recipient's diagnosis and/or conditions.