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| | 102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4701 Introduced 1/21/2022, by Rep. Robyn Gabel SYNOPSIS AS INTRODUCED:
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to update its fee schedule for complex rehabilitation technology products and associated services to 100% of Medicare (2022) rural rates for such products and services. Provides that for claims submitted by providers of complex rehabilitation technology products and associated services, the Department shall implement use of the "KU" modifier and associated Medicare payment rates in accordance with the Further Consolidated Appropriations Act,
2020 (Public Law 116-94). Requires the Department to reimburse providers of complex rehabilitation technology services and associated services for the full amount of time required to complete any repairs made to any device or equipment authorized by the Department for a recipient of medical assistance.
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| | A BILL FOR |
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| | HB4701 | | LRB102 25775 KTG 35105 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-45 as follows:
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| 6 | | (305 ILCS 5/5-45 new) |
| 7 | | Sec. 5-45. Complex rehabilitation technology products; fee |
| 8 | | schedule; billing modifier; repair coverage. |
| 9 | | (a) The Department shall update its fee schedule for |
| 10 | | complex rehabilitation technology products and associated |
| 11 | | services to 100% of Medicare (2022) rural rates for such |
| 12 | | products and services. |
| 13 | | (b) Notwithstanding any other provision of law, for claims |
| 14 | | submitted by providers of complex rehabilitation technology |
| 15 | | products and associated services the Department shall |
| 16 | | implement use of the "KU" modifier and associated Medicare |
| 17 | | payment rates in accordance with Section 106 of Subtitle A of |
| 18 | | Title I of Division N of the Further Consolidated |
| 19 | | Appropriations Act,
2020 (Public Law 116-94). |
| 20 | | (c) Notwithstanding any other provision of law, the |
| 21 | | Department shall reimburse providers of complex rehabilitation |
| 22 | | technology services and associated services for the full |
| 23 | | amount of time required to complete any repairs made to any |