The American Medical Association (AMA) and Illinois State Medical Society (ISMS) are collaborating to share that Illinois Medicaid has expanded its coverage benefits to include home blood pressure devices and reimbursement for self-measured blood pressure (SMBP) clinical support.
AMA and ISMS developed guidance to assist physicians and care teams in ordering SMBP and validated blood pressure devices for their patients.
Access the resources below to understand the policy updates, the reimbursement available for physicians to provide SMBP clinical services, and the process for ordering blood pressure devices through the Durable Medical Equipment (DME) benefit.
How to prescribe SMBP to Illinois Medicaid patients
Step-by-step guidance to determine patient eligibility, documentation and prior authorization requirements, and tips for implementing an effective SMBP program.
Download the step-by-step guide (PDF).
Illinois Medicaid reference materials
Reference the Illinois Medicaid Policies and Procedures manual along with other resources regarding SMBP and blood pressure devices for patients with Illinois Medicaid.
- Illinois Chapter M-200 Policy and Procedures for Medical Equipment and Supplies
- Illinois Provider Notice Issued July 1, 2020
- DME Fee Schedule Effective Jan. 1, 2025; Updated June 1, 2025
- Practitioner Fee Schedule Effective April 1, 2025; Updated Aug. 29, 2025
