MedicaidPrior AuthMedium impact
No Prior Authorization for Buprenorphine Prescriptions per Public Act 103-1040
Illinois Medicaid - HFS·IL · Family Medicine, Internal Medicine, Psychiatry +2 more·Provider Notice
Effective date
Sep 24, 2024
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has eliminated prior authorization requirements for buprenorphine prescriptions, including previous edits for age or dosage restrictions. This change applies immediately to both fee-for-service and managed care programs.
Action Required
Immediately: Billing team should update prior authorization lists and billing system settings to remove buprenorphine prior auth requirements for Illinois Medicaid patients. Notify providers that buprenorphine prescriptions no longer require prior authorization for age or dosage restrictions.