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Provider Notice issued 11/04/2024

 

To: All Medical Assistance Program Providers
​Date November 4, 2024
​Re:
Confirmation of Coverage for Colonoscopies per Public Act 103-0800

This notice confirms the Department of Healthcare and Family Services’ (HFS) coverage of colonoscopies. This coverage is required under Public Act 103-0080.

The Act requires HFS to provide coverage for medically necessary colonoscopies. As HFS already provides this coverage under the fee-for-service (FFS) program and managed care organizations (MCOs), no coverage changes are necessary.

Questions regarding this notice may be directed to the Bureau of Professional and Ancillary Services at 877-782-5565, or the applicable MCO.

 

 

Kelly Cunningham, Administrator
Division of Medical Programs