MedicaidCoverageMedium impact
Coverage Changes Resulting from the Save Medicaid Access and Resources Together (SMART) Act
Illinois Medicaid - HFS·IL · Chiropractic, Optometry, Dentistry +2 more·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Summary
The SMART Act reduces Medicaid SLF reimbursement rates by 2.7%, eliminates coverage for adult chiropractic services, restricts prescriptions to 4 per 30-day period with 14-day supplies for SLF residents, and reduces coverage for adult optical, dental, and podiatric services effective July 1, 2012.
Action Required
By July 1, 2012: Billing team must update Medicaid reimbursement rates for SLF services (reduce by 2.7%), stop billing adult chiropractic services for Medicaid patients, restrict prescription fills to 14-day supplies for SLF residents, and implement prior authorization processes for prescription exceptions exceeding 4 per 30-day period.