I am afraid that the first step here is you would need to file a written appeal with medicaid together with a report from your doctor explaining how the procedure began before their change and that it is medically necessary for it to be completed to seek to have medicaid waive their restriction or denial. If medicaid does not reverse on their first appeal, then you can request a state fair hearing through the medicaid board. Unfortunately, this is the only process when medicaid changes their payment rules. It is helpful to you if they deny your first appeal to get a local medicaid attorney, most who take these cases and are paid by medicaid to represent poor people in need of medicaid and you can find one by using the same site used by other attorneys, http://www.martindale.com or calling the state bar and asking them for the pro bono or medicaid attorneys in your area.

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While the provider, even when they take medicaid, still has a right to be paid for their services, if you can prove they started this procedure knowing that they would never be able to complete it because they were aware the new rules would prevent them from doing so, then you can consider a malpractice claim against the dentist. However, in IL, this means you would need another dentist as an expert to attest that a reasonably trained dentist would not have started such a procedure knowing they would not be able to complete it. Without such an expert, the IL law prevents you from even filing suit as any suit without an expert report attesting to the negligence of the doctor must be dismissed by the court.

Any dentist who is licensed in the state who performs similar procedures would qualify as an expert. The experts have to write a report which is a notarized affidavit.