Tag: Illinois
NCART updates: Prior authorization change, research opportunity
February 25, 2026HME News Staff
WASHINGTON – The National Coalition for Assistive & Rehab Technology (NCART) has notified providers in Illinois of a change in state law PA 104-0324 that affects prior approvals for wheelchair repairs. Effective March 1, 2026, the threshold amount required for prior approval of wheelchair repairs has changed to $1,500 from $750. The association says providers may not divide wheelchair repairs into separate claims for the purpose of staying...
Illinois legislature passes bill that would exclude breast pumps from sales tax
April 14, 2022HME News Staff
SPRINGFIELD, Ill. - The Illinois General Assembly has passed SB 157, a bill that includes language exempting breast pumps and supplies from sales takes effective July 1. Once signed into law, the bill is estimated to save providers in the state $1.1 million annually. “Our strong champion in the Illinois House, Rep. Barbara Hernandez, has worked with providers and other maternal health advocates for two years to see this legislation through,” said Tilly Gambill, director of marketing communications...
State news: Illinois targets MCOs, Minnesota gets approval from judge
September 14, 2018Theresa Flaherty, Managing Editor
SPRINGFIELD, Ill. - Proponents say a bill in the Illinois House of Representatives that would address reimbursement cuts for home medical equipment and supplies is critical as more and more payers offer below-Medicaid rates.This year, IlliniCare Health, a Medicaid MCO, announced rate cuts ranging from 10% to 50%. House Bill 5930 would prohibit MCOs from paying providers less than 10% below Medicaid “fee for service” rates.“IlliniCare was the first one, but there's been quite a bit...
Bill targets MCO-related cuts to DME
July 31, 2018Theresa Flaherty, Managing Editor
SPRINGFIELD, Ill. - A bill has been introduced in the Illinois General Assembly that would help to address concerns surrounding 10% to 50% cuts to medical supply companies by certain managed care organizations, according to the Herald & Review. House Bill 5930, co-sponsored by Reps. David McSweeney, R-Barrington Hills, and Gregory Harris, D-Chicago, would prohibit medical supply companies from being paid less than 10% below Medicaid “fee for service” rates by MCOs, the newspaper reported....