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Provider Notice Issued 08/24/2021

Date:   August 24, 2021

To:       All Medical Assistance Program Providers

Re:      Confirmation of Coverage for Pancreatic Cancer Screening


This notice confirms the Department's coverage for pancreatic cancer screening, as required by
Public Act 102-0306. Coverage is provided under both Medicaid fee-for-service and the managed care plans.

The Act requires the Department to follow the Illinois Insurance Code, which states a group or individual policy of accident and health insurance or a managed care plan that is amended, delivered, issued, or renewed on or after January 1, 2022 shall provide coverage for 
medically necessary pancreatic cancer screening. As the Department already covers this screening, no coverage changes are necessary.

Questions regarding this notice may be directed to a billing consultant in the Bureau of Professional and Ancillary Services at 877-782-5565 or the applicable managed care plan.


Kelly Cunningham, Administrator
Division of Medical Programs


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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director