HB5313

Illinois HB5313 modifies Medicaid coverage and reimbursement policies.

HB5313 amends the Illinois Public Aid Code to revise Medicaid coverage and reimbursement policies. It removes requirements for the Department of Healthcare and Family Services to establish benchmarks for hospitals to reduce readmissions and complications. It also eliminates certain services from coverage, such as group psychotherapy for nursing home residents and limits on services like eyeglasses, therapy, and podiatry. The bill mandates prior approval for specific services, including wheelchair repairs over $750, coronary artery bypass graft, and bariatric surgery.