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The Child Support Services Waukegan Field Office at 2133 Belvidere Road, Waukegan, Illinois is closed today October 29 for maintenance. If in-person assistance is required, please visit the Aurora Regional Office at 2711 New York, Suite 203, Aurora. The Waukegan Office will reopen October 30. For more information, call 800.447.4278 or email HFS.DCSSAskAQuestion@illinois.gov.

Elizabeth M. Whitehorn, Director

Provider Notice issued 11/27/2024

 

To:  Enrolled Physicians; Physician Assistants; Advanced Practice Registered Nurses; Local Health Departments; Federally Qualified Health Centers; Rural Health Clinics; Encounter Rate Clinics; and Pharmacies
​Date November 27, 2024
​Re:
 Confirmation of Coverage for Continuous Glucose Monitors in Compliance with Public Act 103-0639

This notice informs providers of changes related to approval of continuous glucose monitors (CGMs), in compliance with Public Act 103-0639. These changes became effective July 1, 2024, and affect both the Medicaid fee-for-service (FFS) program and managed care organizations (MCOs).

In accordance with the Act, the Department of Health­­Care and Family Services (HFS) will approve a valid prior authorization request for a CGM for no less than a 12-month period, for any type of diabetes. Please refer to the posted criteria for additional detail. 

Questions regarding this notice may be directed to a pharmacy consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 for FFS claims, or the appropriate MCO.

 

Kelly Cunningham, Administrator
Division of Medical Programs