MedicaidPrior AuthHigh impact
New and Revised Forms for Prior Approval of Specific Durable Medical Equipment
Illinois Medicaid - HFS·IL · Wound Care, Endocrinology, Orthopedics +2 more·Provider Notice
Effective date
Jun 23, 2015
We identified it
Jun 20, 2026
Summary
Illinois Medicaid has introduced new and revised prior authorization forms for durable medical equipment (DME) effective June 23, 2015. Providers must now submit specific DME questionnaires along with the existing HFS 1409 Prior Approval Request form and clinical documentation for covered equipment items.
Action Required
Effective June 23, 2015: DME providers, hospitals, and pharmacies must download and use the new HFS forms (HFS 2305 series and revised HFS 3701G, 3785, 3785A) from the Illinois Medical Programs Forms page. Submit appropriate DME-specific questionnaires along with HFS 1409 Prior Approval Request form, physician orders, and clinical documentation for all DME prior authorization requests. Update prior authorization workflows to include equipment-specific forms for items like insulin pumps, wound therapy devices, orthotic devices, and mobility equipment.