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Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require Medicaid managed care organizations to reimburse at no less than 100% of the Medical Assistance program's Durable Medical Equipment fee schedule for the same service or item of durable medical equipment, complex rehab technology, prosthetics, orthotics, or supplies. Provides that the reimbursement requirement shall also apply to a Medicaid managed care organization's subcontractors and third-party administrators. Provides that the Department has the authority to implement the reimbursement requirement on and after July 1, 2025 and prior to the completion of any regulatory process undertaken in order to effect such change. Effective July 1, 2025.
Introduced
Feb 6, 2025
Last Action
Feb 24, 2026
Session
IL 104th
Sponsors
1 primary · 0 co
Assigned to Appropriations-Health and Human Services Committee
Rule 19(a) / Re-referred to Rules Committee
Assigned to Appropriations-Health and Human Services Committee
First Reading
Referred to Rules Committee
Filed with the Clerk by Rep. Dagmara Avelar
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Assigned to Appropriations-Health and Human Services Committee
Dagmara Avelar