MedicaidPrior AuthMedium impact
Additional Detail Regarding Temporary Prior Approval Requirement Changes Related to the COVID-19 Public Health Emergency
Illinois Medicaid - HFS·IL · Pulmonology, Sleep Medicine·Provider Notice
Effective date
Mar 1, 2020
We identified it
Jun 20, 2026
Summary
Illinois HFS is temporarily relaxing prior authorization requirements for DME and home health services during COVID-19. Prior approvals expiring before June 1, 2020 are automatically extended 6 months, and certain equipment like CPAP and ventilators have waived prior auth requirements until the public health emergency ends.
Action Required
Immediately: Continue using existing prior authorization numbers for DME claims with approvals extended through November 2020. Document clinical reasons when prior approval requirements are waived for CPAP, Bi-Level devices, ventilators, and oxygen equipment. Do not request new prior authorizations for equipment covered under temporary waivers until public health emergency ends.