• 7% increase for 2025 was granted via inclusion in larger omnibus bill SB 3268, which passed both Houses two weeks ago
      • IL Healthcare and Family Services Department have proposed that ISOP seek future General Assembly approval for full three year increase amount; Assembly Budget Chair Rep. Gabel supports HFS’ proposal

ALERT: Medicaid Legislation Introduced (3/11/2024)

Companion bills HB 5769 and SB 3910 would:

  • Provide that coverage for custom O&P under Medicaid FFS and Medicaid MCOs be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits; and
  • Ensure that all Medicaid MCOs comply with the network adequacy requirements for custom O&P, including CROs
  • Increase the current 2024 Medicaid rate by 21% via staggered 7% increases in 2025, 2026, and 2027

For more information on the bills, click here.