MedicaidPrior AuthMedium impact
New Durable Medical Equipment Forms Required for Prior Approval Requests
Illinois Medicaid - HFS·IL · PM&R (Physical Medicine & Rehab), Neurology, General Surgery·Provider Notice
Effective date
Apr 10, 2025
We identified it
Jun 20, 2026
Summary
Illinois Medicaid now requires six new supplemental forms (HFS 2305 P through U) in addition to the standard HFS 1409 form for prior approval requests of specific durable medical equipment items including neurogenic bowel dysfunction equipment, transanal irrigation systems, and prosthetic components. These PDF-fillable forms are available on the HFS Medical Prior Approval Criteria webpage and must be submitted effective immediately.
Action Required
Immediately: DME providers must download the six new forms (HFS 2305 P, Q, R, S, T, U) from the HFS Medical Prior Approval Criteria webpage. Update prior authorization workflow to include appropriate supplemental forms with HFS 1409 for neurogenic bowel dysfunction equipment, transanal irrigation systems, and prosthetic components. Train staff on which form applies to each DME scenario. Contact DME Prior Approval unit at 1-877-782-5565 (option 2, 3, then 2) with questions.