101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB4140

 

Introduced 1/22/2020, by Rep. Deanne M. Mazzochi

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-30.15 new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization is referred by his or her primary care provider to another provider who was on the in-network referral list provided by the managed care organization for a medical service, the managed care organization must cover the medical service from that provider if it was a covered service on the date of referral.


LRB101 15020 KTG 64063 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB4140LRB101 15020 KTG 64063 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-30.15 as follows:
 
6    (305 ILCS 5/5-30.15 new)
7    Sec. 5-30.15. Guaranteed coverage for referral services;
8managed care. If a Medicaid enrollee of a managed care
9organization is referred by his or her primary care provider to
10another provider who was on the in-network referral list
11provided by the managed care organization for a medical
12service, the managed care organization must cover the medical
13service from that provider if it was a covered service on the
14date of referral.