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Elizabeth M. Whitehorn, Director

Provider Notice Issued 09/10/2025

        

To: All Medical Assistance Program Providers
​Date: September 10, 2025
​Re:
 Confirmation of Coverage for Peripheral Artery Disease (PAD) Screening Testing per Public Act 104-0379

This notice confirms the Department of Healthcare and Family Services’ (HFS) coverage for Peripheral Artery Disease (PAD) screening testing. This coverage is required under Public Act 104-0379 and applies to the Medicaid fee-for-service program and managed care organizations (MCOs).

In accordance with the Act, for dates of service beginning January 1, 2027, HFS shall provide medically necessary coverage for a peripheral artery disease screening test for any at-risk individual, as defined by the American College of Cardiology and the American Heart Association's Joint Committee on Clinical Practice Guidelines.

HFS currently covers Peripheral Artery Disease (PAD) screening testing as medically necessary. 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.

 

 

Laura Phelan, Administrator
Division of Medical Programs