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Medical assistant certification in Illinois

Read the official rule (225 ILCS 60/54.2; 225 ILCS 65/50-75; 32 Ill. Adm. Code 401)

Illinois has no license or state certification for medical assistants, so there's no state test standing between you and the job. A physician may delegate patient care tasks only to someone with appropriate training and experience, and finishing a program is a common way to show you are trained. Browse the Illinois programs and send a short request to the one that fits you.

  • State credential: None required
  • Certification: Illinois does not certify medical assistants
  • X-rays: Limited Diagnostic Radiography accreditation needed
  • How long x-ray accreditation lasts: 2 years
State credential
None
Certification required
No state certification; employer decides on training and national certification
Injections
Not addressed
X-rays
Yes. IEMA-OHS Limited Diagnostic Radiography accreditation (chest, extremities, skull/sinus, spine)

How Illinois law treats medical assistants

The Medical Practice Act lets a physician pass patient care duties to an unlicensed worker who has the right training and experience. That is the legal basis for medical assistants in Illinois.

In a medical office or clinic, a licensed health care professional has to be on site to help. Any delegated duty has to sit within the supervising physician's own background and skills, and it has to belong to an existing physician-patient relationship. A physician may not hand off anything that a law or rule reserves for physicians alone.

Delegation can happen orally, in writing, electronically, or through protocols, standing orders, guidelines, or spoken instructions.

What a registered nurse may hand off

Under the Nurse Practice Act, a registered nurse can also hand nursing duties to unlicensed workers. Before doing so, the nurse weighs the patient's stability, the chance of harm and whether the worker can safely handle the task.

The rules are tighter for medication. A nurse may hand off medication only when care happens in the community or in the patient's home, and only for subcutaneous, oral, or skin-applied medicines such as patches and creams.

X-ray work for medical assistants

Illinois controls who may apply x-rays to patients, and the state accreditation rule covers you unless a specific exemption applies. If x-rays are part of your work, you must hold at least Limited Diagnostic Radiography accreditation, issued by the state radiation safety office known as IEMA-OHS.

A limited diagnostic radiographer practices under a licensed practitioner's general supervision. Only certain body areas are allowed: the chest, arms and legs, the skull or sinuses, and the spine. Accreditation lasts 2 years.

The limited radiography exam

The limited scope exam is booked through IEMA-OHS, and the $150 exam fee goes to ARRT, the organization that runs the test. The application form spells out the details.

While you train for the limited scope x-ray exam, your supervisor must be in the room when you take x-rays. A licensed physician or an accredited radiographer must be the one to activate the exposure.

Training programs and what they cost

Since Illinois sets no certification requirement, finishing a program is a common way to show your training. Across the country there are 1,094 medical assistant programs, and 484 of them are accredited by CAAHEP or ABHES, the two groups that check program quality.

Career schools that quote a full program price show a median of $17,257 covering tuition, fees and books. At public colleges, the median comes to $4,346 for a year of full-time tuition and fees for in-district students.

Career schools mostly report 7 to 9 months to completion, with a median of 9 months. Online programs deliver the coursework through distance education, though the supervised clinical practice still happens in person.

The median pay for medical assistants is $45,690 per year, or $21.97 per hour, based on May 2025 figures from the BLS.

How to reach out to a program

Ready to start? Open the Illinois program page, pick the accredited program that suits you, and fill in the short Request information form after the program tables with your name, email, phone, ZIP code and when you'd like to start. Your request goes only to that school.

Sources: 225 ILCS 65/50-75 Nursing delegation by a registered professional nurse · 32 Ill. Adm. Code 401 Accrediting Persons in the Practice of Medical Radiation Technology · IEMA-OHS Application for Examination in Limited Radiography. This plain summary isn’t legal advice; the statute or board rule is the authority.

Medical assistant programs in Illinois · Pay in Illinois · Every state’s rules side by side