If you have an active Illinois Medicaid card, coverage applies to items listed on the order form.  We must have a provider order (physician or midwife or nurse practitioner) and signature to provide home medical supplies. Simply print the order form and bring it with you to your next prenatal visit.  Have the clinic or office fax the completed form to us with a copy of your Illinois Medicaid card (the side with your recipient number is most important).  We will verify your eligibility and mail supplies directly to you (or to the clinic if this is what you prefer).  Please be certain you have provided a reliable shipping address on the order form as well as a working phone number where you can be reached.  Please indicate height and weight as requested to ensure proper sizing for support garments.  Failure to complete all information on the order form may delay processing.  Illinois Medicaid will not provide coverage for "presumptive eligible" status.  We will hold your order until you have "full coverage".  Illinois medicaid allows one breast pump / binder / support belt every 365 days, except for compression hose, they allow 4 pair every 6 months.