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| | SB1617 Enrolled | | LRB103 25020 CPF 52743 b |
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| 1 | | AN ACT concerning health.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Health Care Professional Credentials Data |
| 5 | | Collection Act is amended by changing Section 5 as follows:
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| 6 | | (410 ILCS 517/5)
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| 7 | | Sec. 5. Definitions. As used in this Act:
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| 8 | | "Council" means the Health Care Credentials Council.
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| 9 | | "Credentials data" means those data, information, or |
| 10 | | answers to questions
required by a health care entity, health
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| 11 | | care plan, or hospital to complete the credentialing or
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| 12 | | recredentialing of a health care professional.
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| 13 | | "Credentialing" means the process of assessing and |
| 14 | | validating the
qualifications of a health care professional.
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| 15 | | "Department" means the Department of Public Health.
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| 16 | | "Director" means the Director of the Department of Public |
| 17 | | Health.
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| 18 | | "Health care entity" means any of the following which |
| 19 | | require the submission
of credentials data: (i) a health care |
| 20 | | facility or other
health care organization licensed or |
| 21 | | certified to provide medical or
health services in Illinois, |
| 22 | | other than a hospital; (ii) a health care
professional |
| 23 | | partnership, corporation, limited liability company, |
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| 1 | | professional
services corporation or group practice; or (iii) |
| 2 | | an independent
practice association or physician hospital |
| 3 | | organization. Nothing in this
definition shall be construed to |
| 4 | | mean that a hospital is a health care
entity.
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| 5 | | "Health care plan" means any entity licensed by the |
| 6 | | Department of Insurance
as a prepaid health care plan or |
| 7 | | health maintenance
organization or as an insurer
which |
| 8 | | requires the submission of
credentials data.
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| 9 | | "Health care professional" means any person licensed under |
| 10 | | the Medical
Practice Act of 1987 or any person licensed under |
| 11 | | any
other Act subsequently made subject to this Act by the |
| 12 | | Department.
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| 13 | | "Hospital" means a hospital licensed under the Hospital |
| 14 | | Licensing Act or any
hospital organized under the University |
| 15 | | of Illinois
Hospital Act.
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| 16 | | "Recredentialing" means a the process undertaken for a |
| 17 | | period not to exceed 3 years by which a health care entity, |
| 18 | | health
care plan or hospital ensures that a health care |
| 19 | | professional
who is currently credentialed by the health care |
| 20 | | entity, health care plan or
hospital continues to meet the |
| 21 | | credentialing criteria used by the
health care entity, health |
| 22 | | care plan, or hospital no more than once every 2
years.
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| 23 | | "Single credentialing cycle" means a process undertaken |
| 24 | | for a period not to exceed 3 years whereby for purposes of
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| 25 | | recredentialing each health care professional's credentials
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| 26 | | data are collected by all health care entities and health care |
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| 1 | | plans that
credential the health care professional during the |
| 2 | | same time period and
only once every 2 years.
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| 3 | | "Site survey" means a process by which a health care |
| 4 | | entity or health care
plan assesses the office locations and |
| 5 | | medical record
keeping practices of a health care |
| 6 | | professional.
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| 7 | | "Single site survey" means a process by which, for |
| 8 | | purposes of
recredentialing, each health care professional |
| 9 | | receives a site visit only
once every two years.
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| 10 | | "Uniform health care credentials form" means the form |
| 11 | | developed by the
Department under Section 15 to collect the |
| 12 | | credentials
data commonly requested by health care entities |
| 13 | | and health care plans for
purposes of credentialing.
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| 14 | | "Uniform health care recredentials form" means the form |
| 15 | | developed by the
Department under Section 15 to collect the |
| 16 | | credentials data commonly requested
by health care entities |
| 17 | | and health care plans for purposes of
recredentialing.
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| 18 | | "Uniform hospital credentials form" means the form |
| 19 | | developed by the
Department
under Section 15 to collect the |
| 20 | | credentials data
commonly requested by hospitals for purposes |
| 21 | | of credentialing.
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| 22 | | "Uniform hospital recredentials form" means the form |
| 23 | | developed by the
Department under Section 15 to collect the |
| 24 | | credentials data commonly requested
by
hospitals for purposes |
| 25 | | of recredentialing.
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| 26 | | "Uniform site survey instrument" means the instrument |
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| 1 | | developed by the
Department under Section 25 to complete a |
| 2 | | single site
survey as part of a credentialing or |
| 3 | | recredentialing process.
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| 4 | | "Uniform updating form" means a standardized form for |
| 5 | | reporting of
corrections,
updates, and modifications to |
| 6 | | credentials data to
health care entities, health care plans, |
| 7 | | and hospitals when those data change
following credentialing |
| 8 | | or recredentialing of a health care
professional.
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| 9 | | (Source: P.A. 91-602, eff. 8-16-99.)
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