Illinois General Assembly - Bill Status for HB2050
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 Bill Status of HB2050  103rd General Assembly


Short Description:  MEDICAID-ORTHODONTIC SERVICES

House Sponsors
Rep. Dagmara Avelar and Carol Ammons

Last Action
DateChamber Action
  2/7/2023HouseReferred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5-5from Ch. 23, par. 5-5
305 ILCS 5/5-5.06f new


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that on and after July 1, 2023, medically necessary orthodontic services may be covered under the medical assistance program. Requires the Department of Healthcare and Family Services to use certain auto-qualifiers when determining whether an individual, who is otherwise eligible for medical assistance, is also eligible for coverage for a medically necessary orthodontic service. Provides that if the Department denies a claim for a medically necessary orthodontic service, the Department must, at a minimum, provide the following information to the provider of the orthodontic service: (i) the actual score of the orthodontic case; (ii) the name of the dentist or orthodontist who scored the orthodontic case; (iii) a detailed scoring sheet outlining the reasons for the score of the orthodontic case; and (iv) instructions on how to appeal the denied claim.

Actions 
DateChamber Action
  2/2/2023HouseFiled with the Clerk by Rep. Dagmara Avelar
  2/7/2023HouseFirst Reading
  2/7/2023HouseReferred to Rules Committee
  2/23/2023HouseAdded Co-Sponsor Rep. Carol Ammons

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