Bill Status of HB 2715   101st General Assembly

Short Description:  MEDICAID-MANAGED CARE-RATES

House Sponsors
Rep. Robyn Gabel, Kelly M. Cassidy, Karina Villa and Rita Mayfield

Last Action  View All Actions

DateChamber Action
  1/13/2021HouseSession Sine Die

Statutes Amended In Order of Appearance
305 ILCS 5/5-30.1
305 ILCS 5/5-30.11 new

Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Require managed care organizations (MCOs) to ensure (i) that contracted providers shall be paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; and (ii) that all contracted providers are contained on an updated roster within 7 days of entering into a contract with the MCO and that such roster be readily accessible by all medical assistance enrollees for purposes of selecting an approved healthcare provider. Requires the Department of Healthcare and Family Services to develop a single standard list of all additional clinical information that shall be considered essential information and may be requested from a hospital to adjudicate a claim. Provides that a provider shall not be required to submit additional information, justifying medical necessity, for a service which has previously received a service authorization by the MCO or its agent. Contains provisions concerning a timely payment interest penalty; an expedited provider payment schedule; a single list of standard codes to identify the reason for nonpayment on a claim; payments under the Department's fee-for-service system; a 90-day correction period for providers to correct errors or omissions in a payment claim; service authorization requests; discharge notification and facility placement; and other matters. Defines terms. Effective immediately.

Actions 
DateChamber Action
  2/14/2019HouseFiled with the Clerk by Rep. Robyn Gabel
  2/14/2019HouseFirst Reading
  2/14/2019HouseReferred to Rules Committee
  2/21/2019HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  2/26/2019HouseAssigned to Human Services Committee
  3/6/2019HouseTo Medicaid Subcommittee
  3/29/2019HouseRule 19(a) / Re-referred to Rules Committee
  3/29/2019HouseAdded Co-Sponsor Rep. Karina Villa
  5/8/2019HouseAdded Co-Sponsor Rep. Rita Mayfield
  1/13/2021HouseSession Sine Die

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