CommercialCoverageMedium impact
Sexual Assault Treatment Program Private Insurance Opt-Out Alternative Per Public Act 102-1097
Illinois Medicaid - HFS·IL · Emergency Medicine·Provider Notice
We identified it
Jun 20, 2026
Summary
Sexual assault survivors who are not primary policyholders can now opt out of billing their private insurance and instead receive coverage through Illinois' Sexual Assault Emergency Treatment Program. Healthcare providers must submit claims directly to HFS at Medicaid rates when survivors elect this option, with no third-party liability listed.
Action Required
Immediately: Establish workflow to identify sexual assault survivors who elect to opt out of private insurance billing. Train billing staff to submit these claims to Illinois HFS Sexual Assault Emergency Treatment Program (PO Box 19129, Springfield, IL 62794-9129) at Medicaid rates with no TPL listed. Update intake procedures to capture patient election for opt-out.