Bill > SB1737

This bill amends the Illinois Public Aid Code to require Medicaid managed care organizations (MCOs) to reimburse providers at 100% of the Medical Assistance program's established fee schedule for durable medical equipment (DME), complex rehab technology, prosthetics, orthotics, and related supplies. The requirement extends not just to the MCOs themselves, but also to their subcontractors and third-party administrators, ensuring that healthcare providers are fully compensated for these essential medical items. The Department of Healthcare and Family Services is granted the authority to implement this reimbursement requirement starting July 1, 2025, and can do so even before completing any necessary regulatory processes. By mandating full reimbursement at the Medical Assistance program's established rates, the bill aims to ensure that healthcare providers are adequately compensated and that patients have consistent access to critical medical equipment and technologies.

https://www.ilga.gov/legislation/BillStatus.asp?DocNum=1737&GAID=18&DocTypeID=SB&SessionID=114&GA=104