Molina Healthcare Illinois policies, page 7

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
Interspinous Decompression and Interlaminar Stabilization Devices for Spinal StenosisCommercial, Medicaid5Original policy ↗
Interspinous Process Fixation Devices for Spinal FusionCommercial, Medicaid1Original policy ↗
Intervertebral Stabilization DevicesCommercial, Medicaid1Original policy ↗
Intradialytic Parenteral Nutrition and Intraperitoneal Parenteral Nutrition421 · Commercial42Original policy ↗
Intraoperative Neurophysiologic Monitoring (IONM)481 · Effective Apr 8, 2026 · Commercial, Medicaid3Original policy ↗
Intravenous Bisphophonates MHIMedicaid · IL, MS3Original policy ↗
Iron chelating Agents (Desferal, Exjade, Ferriprox, Jadenu) MHIMedicaid · IL, MS1Original policy ↗
Iron Deficiency Anemia Agents MHIMedicaid · IL, MS4Original policy ↗
Isturisa (osilodrostat) MHIMedicaid · IL, MS—Original policy ↗
Itvisma (onasemnogene abeparvovec)Commercial, Medicaid3Original policy ↗
Itvisma (onasemnogene abeparvovec) MEDICARE3Original policy ↗
Izervay (avacincaptad intravitreal) MHIMedicaid · IL1Original policy ↗
Joenja (leniolisib) MHIMedicaid · IL, MS—Original policy ↗
Juxtapid (lomitapide) MHIMedicaid · IL, MS—Original policy ↗
Kanuma (sebelipase alfa) MHIMedicaid · IL, MS1Original policy ↗
Kebilidi (eladocagene exuparvovec)Commercial, Medicaid3Original policy ↗
Kerendia (finerenone) MHIMedicaid · IL, MS—Original policy ↗
Kesimpta (ofatumumab) MHIMedicaid · IL, MS—Original policy ↗
Ketogenic Diet for Treatment of Intractable SeizuresCommercial, Medicaid3Original policy ↗
Keveyis (dichlorphenamide) MHIMedicaid · IL, MS—Original policy ↗
Kidney Transplantation045 · Commercial15Original policy ↗
Kineret (anakinra) MHIMedicaid · IL, MS—Original policy ↗
Korlym (mifepristone) MHIMedicaid · IL, MS—Original policy ↗
Koselugo (selumetinib) MHIMedicaid · IL, MS—Original policy ↗
Kresladi (marnetegragene autotemcel)Commercial4Original policy ↗
Krystexxa (pegloticase) MHIMedicaid · IL, MS1Original policy ↗
Kuvan (sapropterin dihydrochloride) MHIMedicaid · IL, MS—Original policy ↗
Kymriah (tisagenlecleucel)395 · Effective Apr 8, 2026 · Commercial9Original policy ↗
Lab Codes with Modifiers 59 and 91Commercial, Medicaid—Original policy ↗
Lab Codes with Modifiers 59 and 91Medicaid · IL—Original policy ↗
Lab PanelCommercial, Medicaid9Original policy ↗
Lab PanelMedicaid · AZ, CA, FL, IA, ID, IL, MA, MI, NE, NM, NY, OH, SC, TX, WA, WI9Original policy ↗
Lab PanelMedicaid · IL9Original policy ↗
Labs Overlapping with FacilityCommercial, Medicaid—Original policy ↗
Lamzede (velmanase alfa) MHIMedicaid · IL, MS1Original policy ↗
Lemtrada (alemtuzumab) MHIMedicaid · IL, MS1Original policy ↗
Lenmeldy (atidarsagene autotemcel)453 · Commercial, Medicaid3Original policy ↗
Leqembi (lecanemab-irmb) MHIMedicaid · IL, MS1Original policy ↗
Leqselvi (deuruxolitinib) MNR MHIMedicaid · IL—Original policy ↗
Leuprolide long acting (Lupron Depot, Eligard, Lupaneta, Lupron Depot Ped, Fensolvi) MHIMedicaid · IL, MS6Original policy ↗
Lidocaine Patch MHIMedicaid · IL, MS—Original policy ↗
Litfulo (ritlecitinib) MNR MHIMedicaid · IL—Original policy ↗
Liver Transplantation114 · Commercial15Original policy ↗
Livmarli (maralixibat) MHIMedicaid · IL, MS—Original policy ↗
Livtencity (maribavir) MHIMedicaid · IL, MS—Original policy ↗
Long-Acting Injectable Antipsychotic Agents IL Medicaid Only C27179-AC27179-A · Medicaid · IL—Original policy ↗
Low Dose Helical (Spiral) Computed Tomography for Lung Cancer Screening MCR 658Medicaid · IL, MS1Original policy ↗
Lumbar Artificial Intervertebral Disc ReplacementCommercial9Original policy ↗
Lumizyme, Myozyme (Alglucosidase alfa) MHIMedicaid · IL, MS1Original policy ↗
Lung TransplantationCommercial13Original 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.