Bill Status of HB 5930   100th General Assembly

Short Description:  DURABLE MEDICAL SUPPLIES-RATES

House Sponsors
Rep. David McSweeney-Stephanie A. Kifowit-Fred Crespo-Gregory Harris, Robyn Gabel and Juliana Stratton

Last Action  View All Actions

DateChamber Action
  1/8/2019HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-30.1

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish, by rule, minimum quality standards for providers of medical supplies, equipment, and related services applicable to contracted managed care organizations for all services rendered to MCO enrollees. Requires the minimum quality standards to be based upon recognized national standards promulgated by national bodies and by the Centers for Medicare and Medicaid Services. Requires the Department to set a rate of reimbursement payable by contracted managed care organizations to contracted, in-network providers of medical supplies, equipment, and related services at the default rate of reimbursement paid under the Illinois Medicaid fee-for-service program methodology for such medical supplies, equipment, and related services in effect as of June 30, 2017. Requires contracted managed care organizations to offer a reimbursement rate to contracted, in-network providers of medical supplies, equipment, and related services at not less than 90% of the default rate of reimbursement paid under the Illinois Medicaid fee-for-service program methodology, including all policy adjusters, for such medical supplies, equipment, and related services of similar quality. Provides that these provisions shall not be construed to allow the Department or its contracted MCOs to enter into sole source contracts for the provision of durable medical equipment, supplies, or related services to Medicaid beneficiaries and Medicaid managed care enrollees. Effective immediately.

Actions 
DateChamber Action
  7/17/2018HouseFiled with the Clerk by Rep. David McSweeney
  7/17/2018HouseChief Co-Sponsor Rep. Gregory Harris
  7/26/2018HouseAdded Chief Co-Sponsor Rep. Stephanie A. Kifowit
  7/26/2018HouseAdded Chief Co-Sponsor Rep. Fred Crespo
  7/26/2018HouseChief Co-Sponsor Changed to Rep. Stephanie A. Kifowit
  7/26/2018HouseChief Co-Sponsor Changed to Rep. Fred Crespo
  8/6/2018HouseAdded Co-Sponsor Rep. Robyn Gabel
  8/30/2018HouseAdded Co-Sponsor Rep. Juliana Stratton
  11/7/2018HouseFirst Reading
  11/7/2018HouseReferred to Rules Committee
  1/8/2019HouseSession Sine Die

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