Molina Healthcare Illinois policies, page 13

Search Molina Healthcare Illinois's public medical, payment and drug policies by CPT or HCPCS code, keyword or policy number, with links to the payer's own documents. Links open the payer's own document; check its current version before relying on it.

683 public policies Substrate tracks for Molina Healthcare Illinois, by title.

Molina Healthcare Illinois policies
PolicyDetailsCodesSource
Tadalafil and combinations for BPH MHIMedicaid · IL, MS—Original policy ↗
Taltz (ixekizumab) MHIMedicaid · IL, MS—Original policy ↗
Tarpeyo (budesonide) MHIMedicaid · IL, MS—Original policy ↗
Tavalisse (fostamatinib) MHIMedicaid · IL, MS—Original policy ↗
Tavneos (avacopan) MHIMedicaid · IL, MS—Original policy ↗
Tecartus (brexucabtagene autoleucel)378 · Commercial, Medicaid5Original policy ↗
Tecelra (afamitresgene autoleucel)Commercial, Medicaid3Original policy ↗
Tendon Injections Missing DiagnosisEffective Aug 20, 2025 · Commercial, Medicaid4Original policy ↗
Tepezza (teprotumumab-trbw) MHIMedicaid · IL, MS1Original policy ↗
Testosterone MHIMedicaid · IL, MS6Original policy ↗
Tezspire (tezepelumab) MHIMedicaid · IL, MS1Original policy ↗
Therapy Modifier CodingCommercial, Medicaid—Original policy ↗
Therapy Modifier Coding—Original policy ↗
Thermography and BSGI Imaging for the Detection of Breast Lesions127 · Commercial5Original policy ↗
Thiola (tiopronin) MHIMedicaid · IL, MS—Original policy ↗
Tobramycin for inhalation MHIMedicaid · IL, MS—Original policy ↗
Tolvaptan MHIMedicaid · IL, MS—Original policy ↗
Topical Acne and Topical Rosacea, IL Medicaid OnlyC21454-A · Effective Jul 28, 2021 · Medicaid · IL—Original policy ↗
Topical and Intralesional TherapiesCommercial, Medicaid12Original policy ↗
Topical Oxygen TherapyCommercial1Original policy ↗
Transcatheter Mitral Valve Implantation437 · Commercial, Medicaid2Original policy ↗
Transcatheter Pulmonary Valve ReplacementMCP-148 · Effective Dec 10, 2025 · Medicaid · IL1Original policy ↗
Tregzi (allogeneic regulatory T cell immunotherapy with HSPC and T cells-vldq)Commercial, Medicaid5Original policy ↗
Tremfya (guselkumab) MHIMedicaid · IL, MS1Original policy ↗
Triptodur (triptorelin pamoate) MHIMedicaid · IL, MS1Original policy ↗
Trogarzo (ibalizumab-uiyk) MHIMedicaid · IL, MS1Original policy ↗
Tudriqev (vusolimogene oderparepec)486 · Effective Aug 12, 2026 · Commercial, Medicaid4Original policy ↗
Tudriqev (vusolimogene oderparepec): MEDICARE486b · Effective Aug 19, 20264Original policy ↗
Tymlos (abaloparatide) MHIMedicaid · IL, MS—Original policy ↗
Tysabri (natalizumab) and Biosimilars MHIMedicaid · IL, MS2Original policy ↗
Unlisted CodingCommercial, Medicaid25Original policy ↗
Unspecified Codes in an Inpatient SettingCommercial—Original policy ↗
Unspecified Codes in an Inpatient SettingMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, UT, WA, WI—Original policy ↗
Unspecified Codes in an Inpatient SettingMedicaid · IL—Original policy ↗
Uplizna (inebilizumab) MHIMedicaid · IL, MS1Original policy ↗
Vabysmo (faricimab) MHIMedicaid · IL, MS1Original policy ↗
Valcyte (valganciclovir) MHIMedicaid · IL, MS—Original policy ↗
Vancocin (vancomycin) Capsules MHIMedicaid · IL, MS—Original policy ↗
Veopoz (pozelimab-bbfg)C26434-A · Effective Aug 30, 2026 · Medicaid · IL1Original policy ↗
Verquvo (vericiguat), IL Medicaid OnlyC22082-A · Effective Jan 1, 2022 · Medicaid · IL—Original policy ↗
Vijoice (alpelisib) MHIMedicaid · IL, MS—Original policy ↗
Viltepso (viltolarsen) MNR MHIMedicaid · IL1Original policy ↗
Vimizim (elosulfase alfa) MHIMedicaid · IL, MS1Original policy ↗
Visudyne (verteporfin) for Ocular Photodynamic Therapy308 · Commercial, Medicaid4Original policy ↗
Vonjo (pacritinib) MHIMedicaid · IL, MS—Original policy ↗
Voxzogo (vosoritide) MHIMedicaid · IL, MS—Original policy ↗
Vyjuvek (beremagene geperpavec)Commercial, Medicaid1Original policy ↗
Vyndaqel_Vyndamax (tafamidis) MHIMedicaid · IL, MS—Original policy ↗
Vyondys 53 (golodirsen) MNR MHIMedicaid · IL1Original policy ↗
Vyvgart (efgartigimiod alfa) MHIMedicaid · IL, MS2Original policy ↗

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Disclaimer

The information provided on this page is for general informational purposes only and does not constitute billing, coding, or reimbursement advice. Nothing on this page should be relied upon as a substitute for clinician assessment, professional billing guidance, or as a definitive statement of any payor's billing requirements or policies.

Payor agreements, fee schedules, and billing policies vary and are subject to change. Before submitting any claims related to maternity care services, including claims affected by the 2027 CPT code revisions, please consult the applicable payor agreements, coverage policies, and billing guidelines to confirm current requirements for their specific payor contracts.

Substrate makes no representation or warranty regarding the accuracy, completeness, or timeliness of the payor-specific information presented here. Providers are solely responsible for ensuring that all claims are submitted in accordance with applicable payor requirements, and Substrate assumes no liability for claim denials, underpayments, or other adverse outcomes arising from reliance on this information.