MedicaidBilling CodesMedium impact
Supplies Included in Equipment Rental Reimbursement – Clarification of Specific Supplies
Illinois Medicaid - HFS·IL · Orthopedics, PM&R (Physical Medicine & Rehab), General Practice·Provider Notice
Effective date
Jun 24, 2015
We identified it
Jun 20, 2026
Summary
Illinois Medicaid clarifies that specific accessories and supplies needed for durable medical equipment are included in rental reimbursement and must not be billed separately. The department will review previous claims and recoup inappropriate payments for supplies billed during rental periods.
Action Required
Immediately: Billing team must stop billing separately for accessories and supplies included in DME rental reimbursement per the attached HCPCS code list. Review current billing practices for DME rentals and update billing system rules to prevent separate billing of included supplies. Be aware that Illinois Medicaid may recoup previous inappropriate payments for supplies billed during rental periods.