MedicaidPrior AuthMedium impact
Prior Approval Policy Change for All Wheelchair and Power-Operated Vehicle (POV) Repairs Effective with Dates of Service on and after July 22, 2013
Illinois Medicaid - HFS·IL · PM&R (Physical Medicine & Rehab), General Practice·Provider Notice
Effective date
Jul 22, 2013
We identified it
Jun 20, 2026
Summary
Illinois Medicaid changed wheelchair repair prior authorization requirements effective July 22, 2013. Prior approval is now only required when wheelchair repair charges exceed $400, rather than for all wheelchair repairs as previously mandated.
Action Required
For dates of service July 22, 2013 and after: Update billing system to only require prior authorization for wheelchair and power-operated vehicle repairs when charges exceed $400. Ensure repair claims are not split into separate claims to circumvent the $400 threshold. For dates of service June 1-July 21, 2013, continue to obtain prior approval for all wheelchair repairs.