MEDICAID-ORTHODONTIC SERVICES
- Introduced Feb 2, 2023
- In committee Feb 7, 2023
- Died
- Passed the Senate
- To the governor
- Became law
What it does
The legislature's own summary of the bill, or its official long title.
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…
Read the full title (143 words)
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.
Every action
5 steps, oldest first, as the legislature records them.
- HouseFiled with the Clerk by Rep. Dagmara Avelar
- HouseFirst Reading
- CommitteeReferred to Rules Committee · House Rules
- HouseAdded Co-Sponsor Rep. Carol Ammons
- HouseSession Sine Die
Roll calls
No recorded votes on this bill yet.
Sponsors
The member who introduced it, joined by 1 cosponsor: 1 Democrat.
-
Dagmara AvelarD Primary sponsor · District 85
All 1 cosponsor
From Illinois's official records (www.ilga.gov), checked Nov 13, 2026. Text links go to the official versions; LegiList does not copy bill text.