IL · guidance
Ill. HFS Handbook for Hospice Agencies, Topic K-240
Non-Covered Services
Certain services are not covered in the scope of the Medical Assistance Program
and payment cannot be made for their provision to participants. Refer to 89 Illinois
Administrative Code Section 140.6 for a list of non-covered services.
Per 89 Ill. Admin Code Section 140.469(h), for adults 21 years of age and over, the
following services are not covered for non-hospice providers serving patients
enrolled in the Department’s hospice program:
• Dental Services
• Optometric Services and Eyewear
• Nursing Services Provided by Registered Nurses and Licensed Practical
Nurses
• Occupational, Physical, and Speech Therapy Services
• Audiology Services
• General Clinic Services
• General Hospital Outpatient Services (Ambulatory Procedures Listing
Services)
• Hospital Psychiatric Clinic Type A and Type B Services
• Hospital Outpatient Physical Rehabilitation Services
• Mental Health Rehabilitation Option Services
• Alcohol and Substance Abuse Rehabilitation Services
• Medical Equipment and Supplies
• Social Work and Psychological Services
• Home Health Services
• Homemaker Services
• Palliative Drugs
Physician and nurse practitioner services will be reimbursed only if the provider
identifies the service as not related to the terminal illness by using the “GW” modifier
with the procedure code billed.
Provenance
- Source
- hfs.illinois.gov
- Retrieved
- 2026-10-02
- Edition
- hfs-k200-2016-11-01
- Content hash
f5e1370ccb22d9e78de076054b1a7c2ef7ecc78bc11f6014a880c772b92e7600
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