|
| | 104TH GENERAL ASSEMBLY
State of Illinois
2025 and 2026
HB4783 Introduced , by Rep. Michelle Mussman SYNOPSIS AS INTRODUCED:
| | | Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that for dates of service beginning on and after January 1, 2027, the Department of Healthcare and Family Services shall, for healthcare common procedure coding system codes relating to complex rehabilitation technology wheelchair repair and accessories, apply a reimbursement rate under the Medical Assistance program equivalent to the maximum fee paid in Illinois under the federal Medicare program, including fees under the KU modifier, if applicable. Effective immediately. |
| |
| | A BILL FOR |
|
|
| | HB4783 | | LRB104 18292 KTG 31732 b |
|
|
| 1 | | AN ACT concerning public aid.
|
| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
|
| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-5j as follows:
|
| 6 | | (305 ILCS 5/5-5j new) |
| 7 | | Sec. 5-5j. Wheelchair repair and accessories. |
| 8 | | (a) As used in this Section, "KU modifier" means a |
| 9 | | modifier used in the federal Medicare program related to an |
| 10 | | exemption from competitive bidding pricing. |
| 11 | | (b) For dates of service beginning on and after January 1, |
| 12 | | 2027, the Department shall, for healthcare common procedure |
| 13 | | coding system codes relating to complex rehabilitation |
| 14 | | technology wheelchair repair and accessories, apply a |
| 15 | | reimbursement rate under the Medical Assistance program |
| 16 | | equivalent to the maximum fee paid in Illinois under the |
| 17 | | federal Medicare program, including fees under the KU |
| 18 | | modifier, if applicable.
|
| 19 | | Section 99. Effective date. This Act takes effect upon |
| 20 | | becoming law. |