Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to set a rate of reimbursement under the fee-for-service medical assistance program for custom prosthetic and orthotic devices at a rate no less than the Medicare rate for the year minus 6%. Provides that the Department must ensure that all Medicaid managed care plans comply with network adequacy requirements for custom prosthetic and orthotic device services. Requires the Department and contracted managed care organizations to comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.

Spectrum: Bipartisan Bill

Status: (Failed) 2021-01-13 - Session Sine Die [SB0637 Detail]

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Bill Drafts

Revision	Date	Format	Source	View
Engrossed	2019-04-11	HTML/Text	Link	View
Introduced	2019-01-31	HTML/Text	Link	View

Amendments

Amendment	Date	Disposition	Format	Source	View
Senate Amendment 001	2019-04-02	Proposed	HTML/Text	Link	View

Supplemental Documents

Title	Description	Date	Format	Source	View
No supplemental documents for Illinois SB0637 currently on file.

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