# 89 Ill. Adm. Code 140.488: Section 140.488 Periodicity Schedules, Immunizations and Diagnostic Laboratory Procedures

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_488

## Section

- **Citation:** 89 Ill. Adm. Code 140.488
- **Heading:** Section 140.488 Periodicity Schedules, Immunizations and Diagnostic Laboratory Procedures
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 89 SOCIAL SERVICES / CHAPTER I: DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES / Part 140 MEDICAL PAYMENT / Section 140.488 Periodicity Schedules, Immunizations and Diagnostic Laboratory Procedures

## Text

Section 140
Section 140.488  Periodicity
Schedules, Immunizations and Diagnostic Laboratory Procedures
a)         Health Screening Periodicity Schedule.  Eligible clients may
receive one periodic health screening during each of the following time
periods, except a second screening may be given as explained in Section
140.485(d)(2):
1)         birth to two weeks;
2)         two weeks to one month;
3)         one to two months;
4)         two to four months;
5)         four to six months;
6)         six to nine months;
7)         nine to 12 months;
8)         12 to 15 months;
9)         15 to 18 months;
10)         18 to 24 months;
11)         two to three years;
12)         three to four years;
13)         four to five years;
14)         five to six years;
15)         six to eight years;
16)         eight to 10 years;
17)         10 to 12 years;
18)         12 to 14 years;
19)         14 to 16 years;
20)         16 to 18 years; and
21)         18 to 21 years.
b)         Vision
Screening Periodicity Schedule
1)         Vision screening using age appropriate methods shall be part
of all periodic or interperiodic health screenings.
2)         Beginning at age three through 20 years, the Department will
pay for one vision screening performed by a qualified provider per year for an
eligible child.  However, the Department will pay for other such screenings
when medically necessary, regardless of a child's age or medical history.
c)         Hearing
Screening Periodicity Schedule
1)         Hearing screening using age appropriate methods shall be part
of all periodic or interperiodic health screenings.
2)         Beginning at age one year for children at high risk for
hearing problems and age three years for all other children, the Department
will pay for one hearing screening performed by a qualified provider per year
for an eligible child.  However, the Department will pay for other such
screenings when medically necessary, regardless of a child's age or medical
history
health screenings.
2)         Beginning at age one year for children at high risk for
hearing problems and age three years for all other children, the Department
will pay for one hearing screening performed by a qualified provider per year
for an eligible child.  However, the Department will pay for other such
screenings when medically necessary, regardless of a child's age or medical
history.
d)         Dental
Screenings Periodicity Schedule
1)         Effective for dates of service on or after July 1, 2014, the
dental periodicity schedule is available at the Department's website at http://www2.illinois.gov/hfs/MedicalProvider/MedicaidReimbursement/
Pages/Dental.aspx.
Examination of a child's oral cavity, including the status of the teeth and
gums, shall be part of each periodic or interperiodic health screening.
2)         Effective for dates of service on or after July 1, 2014,
beginning at age one through 20 years, the Department will pay for one clinical
oral examination and one oral prophylaxis not more frequently than once every
six months performed by an enrolled dentist.  However, the Department will pay
for additional services when medically necessary, regardless of a child's age
or medical history.
e)         Immunizations.
1)         Immunizations for children that are recommended by the
Advisory Committee on Immunization Practices (ACIP) are covered without cost
sharing under 89 Ill. Adm. Code 140.402(d)(2).  Current ACIP child vaccine
recommendations can be found at https://www.cdc.gov/ vaccines/hcp/imz-schedules/child-adolescent-age.html.
2)
In compliance with section
1905(a)(13)(B) of the Social Security Act (42 U.S.C. 1396(d), and pursuant to
89 Ill. Adm. Code 140.402(e)(11), adult vaccines recommended by ACIP are also
covered without cost sharing.  Current ACIP adult vaccine recommendations are
listed at https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age.html.
f)         Diagnostic Laboratory Procedures
scent-age.html.
2)
In compliance with section
1905(a)(13)(B) of the Social Security Act (42 U.S.C. 1396(d), and pursuant to
89 Ill. Adm. Code 140.402(e)(11), adult vaccines recommended by ACIP are also
covered without cost sharing.  Current ACIP adult vaccine recommendations are
listed at https://www.cdc.gov/vaccines/hcp/imz-schedules/adult-age.html.
f)         Diagnostic Laboratory Procedures.  The Department will pay for
covered diagnostic laboratory procedures as medically necessary including but
not limited to:
1)         Urinalysis, routine (ph specific gravity protein tests for
reducing substances such as glucose), with microscopy;
2)         Urinalysis routine without microscopy;
3)         Chemical, qualitative, any number of constituents;
4)         Cholesterol, serum; total;
5)         Cholesterol, serum; total and ester;
6)         Lead Screening, Blood Lead;
7)         Gonadotropin, chorionic quantitative pregnancy test;
8)         Gonadotropin, chorionic qualitative pregnancy test;
9)         Hematocrit;
10)         Hemoglobin Colorimetric;
11)         Sickle RBC, reduction slide method;
12)         Hemoglobin Electrophoresis;
13)         Sickle Hemoglobin;
14)         Tuberculosis intradermal;
15)         TB Tine Test;
16)         Syphilis Test, qualitative;
17)         GC Culture Test, bacterial screening only;
18)         Culture presumptive, pathogenic organisms screening only;
19)         Culture, multiple organisms;
20)         Urine culture colony count;
21)         Urine bacteria count, commercial kit;
22)         Urine bacteria culture, identification, in addition to colony
count and commercial kit;
23)         Chlamydia Culture;
24)         Pap Smear, Cytopathology;
25)         Epidemological study of a child's living environment when a
child has been diagnosed as having an abnormally high blood lead level;
26)         Denver Developmental Screening Test; and
27)         Other developmental tests that may be approved by the
Department.

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T89_P140_S140_488. Check the current official text before relying on it. Not legal advice.