103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB4980

 

Introduced 2/8/2024, by Rep. Robyn Gabel

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-30.1

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to: (1) adopt a single, uniform service authorization program under which service authorization determinations for all individuals enrolled in a managed care organization (MCO) shall be made by the Department's contracted utilization review organization (URO), as defined; (2) require all service authorization determinations made by the URO to be binding upon the MCO; (3) prohibit an MCO from denying or reducing payment of a claim, or recouping payment of a paid claim, for health care services approved by the URO, except in cases of fraud; (4) adopt certain rules concerning service authorization determinations; (5) seek approval from the federal Centers for Medicare and Medicaid Services for enhanced federal matching funds for such improvements to the Department's Medicaid Management Information System to implement the single, uniform service authorization program; and other matters. Makes these changes applicable to managed care contracts issued, amended, delivered, or renewed on or after January 1, 2025. Makes changes to provisions on when an MCO is required to pay for post-stabilization services as a covered service. Prohibits MCOs and the URO from imposing any requirements for prior approval of emergency services. Provides that MCOs are not obligated to cover health care services, as defined, that are provided on an emergency basis but are not covered services under its contract with the Department. Requires the Department to impose sanctions on a MCO for noncompliance, including, but not limited to, financial penalties, suspension of enrollment of new enrollees, and termination of the MCO's contract with the Department. Effective immediately.


LRB103 37674 KTG 67801 b

 

 

A BILL FOR

 

HB4980LRB103 37674 KTG 67801 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
5changing Section 5-30.1 as follows:
 
6    (305 ILCS 5/5-30.1)
7    Sec. 5-30.1. Managed care protections.
8    (a) As used in this Section:
9    "Managed care organization" or "MCO" means any entity
10which contracts with the Department to provide services where
11payment for medical services, including health care services
12as defined in this Section, is made on a capitated basis.
13    "Emergency services" include:
14        (1) emergency services, as defined by Section 10 of
15    the Managed Care Reform and Patient Rights Act;
16        (2) emergency medical screening examinations, as
17    defined by Section 10 of the Managed Care Reform and
18    Patient Rights Act;
19        (3) post-stabilization medical services, as defined by
20    Section 10 of the Managed Care Reform and Patient Rights
21    Act, and health care services; and
22        (4) emergency medical conditions, as defined by
23    Section 10 of the Managed Care Reform and Patient Rights

 

 

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1    Act.
2    "Health care services" mean any medical or behavioral
3health services covered under the medical assistance program
4that are rendered in the inpatient or outpatient hospital
5setting and subject to review under a service authorization
6program.
7    "Provider" means a facility or individual who is actively
8enrolled in the medical assistance program and licensed or
9otherwise authorized to order, prescribe, refer, or render
10health care services in this State.
11    "Service authorization determination" means a decision
12made by a service authorization program in advance of,
13concurrent to, or after the provision of a health care service
14to approve, change the level of care, partially deny, deny, or
15otherwise limit coverage and reimbursement for a health care
16service upon review of a service authorization request.
17    "Service authorization program" means any utilization
18review, utilization management, peer review, quality review,
19or other medical management activity conducted by the
20Department's contracted utilization review organization,
21including, but not limited to, prior authorization,
22pre-certification, certification of admission, concurrent
23review, and retrospective review, of health care services.
24    "Service authorization request" means a request by a
25provider to a service authorization program to determine
26whether an otherwise covered health care service meets the

 

 

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1reimbursement requirements established by the Department by
2rule for medically necessary, clinically appropriate care and
3to issue a service authorization determination.
4    "Utilization review organization" or "URO" means a peer
5review organization or quality improvement organization that
6contracts with the Department to administer a service
7authorization program and make service authorization
8determinations.
9    (b) As provided by Section 5-16.12, managed care
10organizations are subject to the provisions of the Managed
11Care Reform and Patient Rights Act.
12    (c) An MCO shall pay any provider of emergency services
13that does not have in effect a contract with the contracted
14Medicaid MCO. The default rate of reimbursement shall be the
15rate paid under Illinois Medicaid fee-for-service program
16methodology, including all policy adjusters, including but not
17limited to Medicaid High Volume Adjustments, Medicaid
18Percentage Adjustments, Outpatient High Volume Adjustments,
19and all outlier add-on adjustments to the extent such
20adjustments are incorporated in the development of the
21applicable MCO capitated rates.
22    (d) An MCO shall pay for all post-stabilization services
23as a covered service in any of the following situations:
24        (1) the URO MCO authorized such services;
25        (2) such services were administered to maintain the
26    enrollee's stabilized condition within one hour after a

 

 

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1    request to the URO MCO for authorization of further
2    post-stabilization services;
3        (3) the URO MCO did not respond to a request to
4    authorize such services within one hour;
5        (4) the URO MCO could not be contacted; or
6        (5) the URO MCO and the treating provider, if the
7    treating provider is a non-affiliated provider, could not
8    reach an agreement concerning the enrollee's care and an
9    affiliated provider was unavailable for a consultation, in
10    which case the MCO must pay for such services rendered by
11    the treating non-affiliated provider until an affiliated
12    provider was reached and either concurred with the
13    treating non-affiliated provider's plan of care or assumed
14    responsibility for the enrollee's care. Such payment shall
15    be made at the default rate of reimbursement paid under
16    Illinois Medicaid fee-for-service program methodology,
17    including all policy adjusters, including but not limited
18    to Medicaid High Volume Adjustments, Medicaid Percentage
19    Adjustments, Outpatient High Volume Adjustments and all
20    outlier add-on adjustments to the extent that such
21    adjustments are incorporated in the development of the
22    applicable MCO capitated rates.
23    (e) The following requirements apply to MCOs in
24determining payment for all emergency services:
25        (1) Neither the MCOs nor the URO shall not impose any
26    requirements for prior approval of emergency services.

 

 

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1        (2) The MCO shall cover emergency services provided to
2    enrollees who are temporarily away from their residence
3    and outside the contracting area to the extent that the
4    enrollees would be entitled to the emergency services if
5    they still were within the contracting area.
6        (3) The MCO shall have no obligation to cover medical
7    services, including health care services, provided on an
8    emergency basis that are not covered services under the
9    contract.
10        (4) The MCO shall not condition coverage for emergency
11    services on the treating provider notifying the MCO of the
12    enrollee's screening and treatment within 10 days after
13    presentation for emergency services.
14        (5) The determination of the attending emergency
15    physician, or the provider actually treating the enrollee,
16    of whether an enrollee is sufficiently stabilized for
17    discharge or transfer to another facility, shall be
18    binding on the URO MCO. The MCO shall cover emergency
19    services for all enrollees whether the emergency services
20    are provided by an affiliated or non-affiliated provider.
21        (6) The MCO's financial responsibility for
22    post-stabilization care services the URO it has not
23    pre-approved ends when:
24            (A) a plan physician with privileges at the
25        treating hospital assumes responsibility for the
26        enrollee's care;

 

 

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1            (B) a plan physician assumes responsibility for
2        the enrollee's care through transfer;
3            (C) a contracting entity representative and the
4        treating physician reach an agreement concerning the
5        enrollee's care; or
6            (D) the enrollee is discharged.
7    (f) Network adequacy and transparency.
8        (1) The Department shall:
9            (A) ensure that an adequate provider network is in
10        place, taking into consideration health professional
11        shortage areas and medically underserved areas;
12            (B) publicly release an explanation of its process
13        for analyzing network adequacy;
14            (C) periodically ensure that an MCO continues to
15        have an adequate network in place;
16            (D) require MCOs, including Medicaid Managed Care
17        Entities as defined in Section 5-30.2, to meet
18        provider directory requirements under Section 5-30.3;
19            (E) require MCOs to ensure that any
20        Medicaid-certified provider under contract with an MCO
21        and previously submitted on a roster on the date of
22        service is paid for any medically necessary,
23        Medicaid-covered, and authorized service rendered to
24        any of the MCO's enrollees, regardless of inclusion on
25        the MCO's published and publicly available directory
26        of available providers; and

 

 

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1            (F) require MCOs, including Medicaid Managed Care
2        Entities as defined in Section 5-30.2, to meet each of
3        the requirements under subsection (d-5) of Section 10
4        of the Network Adequacy and Transparency Act; with
5        necessary exceptions to the MCO's network to ensure
6        that admission and treatment with a provider or at a
7        treatment facility in accordance with the network
8        adequacy standards in paragraph (3) of subsection
9        (d-5) of Section 10 of the Network Adequacy and
10        Transparency Act is limited to providers or facilities
11        that are Medicaid certified.
12        (2) Each MCO shall confirm its receipt of information
13    submitted specific to physician or dentist additions or
14    physician or dentist deletions from the MCO's provider
15    network within 3 days after receiving all required
16    information from contracted physicians or dentists, and
17    electronic physician and dental directories must be
18    updated consistent with current rules as published by the
19    Centers for Medicare and Medicaid Services or its
20    successor agency.
21    (g) Timely payment of claims.
22        (1) The MCO shall pay a claim within 30 days of
23    receiving a claim that contains all the essential
24    information needed to adjudicate the claim.
25        (2) The MCO shall notify the billing party of its
26    inability to adjudicate a claim within 30 days of

 

 

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1    receiving that claim.
2        (3) The MCO shall pay a penalty that is at least equal
3    to the timely payment interest penalty imposed under
4    Section 368a of the Illinois Insurance Code for any claims
5    not timely paid.
6            (A) When an MCO is required to pay a timely payment
7        interest penalty to a provider, the MCO must calculate
8        and pay the timely payment interest penalty that is
9        due to the provider within 30 days after the payment of
10        the claim. In no event shall a provider be required to
11        request or apply for payment of any owed timely
12        payment interest penalties.
13            (B) Such payments shall be reported separately
14        from the claim payment for services rendered to the
15        MCO's enrollee and clearly identified as interest
16        payments.
17        (4)(A) The Department shall require MCOs to expedite
18    payments to providers identified on the Department's
19    expedited provider list, determined in accordance with 89
20    Ill. Adm. Code 140.71(b), on a schedule at least as
21    frequently as the providers are paid under the
22    Department's fee-for-service expedited provider schedule.
23        (B) Compliance with the expedited provider requirement
24    may be satisfied by an MCO through the use of a Periodic
25    Interim Payment (PIP) program that has been mutually
26    agreed to and documented between the MCO and the provider,

 

 

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1    if the PIP program ensures that any expedited provider
2    receives regular and periodic payments based on prior
3    period payment experience from that MCO. Total payments
4    under the PIP program may be reconciled against future PIP
5    payments on a schedule mutually agreed to between the MCO
6    and the provider.
7        (C) The Department shall share at least monthly its
8    expedited provider list and the frequency with which it
9    pays providers on the expedited list.
10    (g-4) Effective for dates of service on or after January
111, 2025 for any contracts between the Department and a managed
12care organization issued, amended, delivered, or renewed on or
13after January 1, 2025, the Department shall:
14        (1) adopt a single, uniform service authorization
15    program under which service authorization determinations
16    for all individuals enrolled in a managed care
17    organization shall be made by the Department's contracted
18    URO, or its successor organization;
19        (2) require all service authorization determinations
20    made by the URO under the service authorization program to
21    be binding upon the managed care organization;
22        (3) prohibit a managed care organization from denying
23    or reducing payment of a claim, or recouping payment of a
24    paid claim, for health care services approved by the URO
25    under the service authorization program, except in cases
26    of fraud;

 

 

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1        (4) require the URO to accept and process a dispute
2    submitted by the provider to the URO's internal dispute
3    resolution process of a service authorization
4    determination;
5        (5) require the MCOs to accept and process a dispute
6    submitted by the provider to the MCO's internal dispute
7    resolution process of the final claim reimbursement amount
8    paid for a health care service subject to the service
9    authorization program;
10        (6) prohibit a managed care organization from making
11    service authorization determinations or implementing a
12    service authorization program other than, or in addition
13    to, the Department's single, uniform service authorization
14    program administered by the Department's contracted URO;
15        (7) in consultation with the managed care
16    organizations, a statewide association representing the
17    managed care organizations, a statewide association
18    representing the majority of Illinois hospitals, a
19    statewide association representing physicians, and a
20    statewide association representing nursing homes, adopt
21    administrative rules to:
22            (A) establish and make publicly available the
23        medical policies and guidelines used by the URO to
24        inform service authorization determinations;
25            (B) select one evidence-based,
26        nationally-recognized clinical decision support tool,

 

 

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1        such as InterQual or MCG, to inform service
2        authorization determinations;
3            (C) establish a standard list of health care
4        services that, due to their medical complexity, shall
5        only be reimbursed when performed in the hospital
6        inpatient setting, including, at a minimum, all
7        services designated as "inpatient only" by Medicare
8        under 42 CFR 419.22(n);
9            (D) establish standard timeframes for providers to
10        submit service authorization requests and the URO to
11        make a service authorization determination; and
12            (E) adopt a standard Appointment of Representative
13        form that shall be accepted by all managed care
14        organizations when signed by an enrollee,
15        electronically or in writing, in advance of,
16        concurrent to, or after the provision of a health care
17        service to appoint a provider as the enrollee's
18        representative for purposes of filing a member appeal
19        in accordance with 42 CFR 438 and the Illinois Health
20        Carrier External Review Act;
21        (8) allow a managed care organization to conduct
22    retrospective review of health care services approved by
23    the URO for education, training, quality assurance, or
24    purposes other than the recoupment of a paid claim; and
25        (9) seek approval from the federal Centers for
26    Medicare and Medicaid Services for enhanced federal

 

 

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1    matching funds for such improvements to the Department's
2    Medicaid Management Information System to implement the
3    single, uniform service authorization program. Approval of
4    enhanced federal matching funds shall not be a condition
5    of the requirements of this subsection.
6    (g-5) Recognizing that the rapid transformation of the
7Illinois Medicaid program may have unintended operational
8challenges for both payers and providers:
9        (1) in no instance shall a medically necessary covered
10    service rendered in good faith, based upon eligibility
11    information documented by the provider, be denied coverage
12    or diminished in payment amount if the eligibility or
13    coverage information available at the time the service was
14    rendered is later found to be inaccurate in the assignment
15    of coverage responsibility between MCOs or the
16    fee-for-service system, except for instances when an
17    individual is deemed to have not been eligible for
18    coverage under the Illinois Medicaid program; and
19        (2) the Department shall, by December 31, 2016, adopt
20    rules establishing policies that shall be included in the
21    Medicaid managed care policy and procedures manual
22    addressing payment resolutions in situations in which a
23    provider renders services based upon information obtained
24    after verifying a patient's eligibility and coverage plan
25    through either the Department's current enrollment system
26    or a system operated by the coverage plan identified by

 

 

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1    the patient presenting for services:
2            (A) such medically necessary covered services
3        shall be considered rendered in good faith;
4            (B) such policies and procedures shall be
5        developed in consultation with industry
6        representatives of the Medicaid managed care health
7        plans and representatives of provider associations
8        representing the majority of providers within the
9        identified provider industry; and
10            (C) such rules shall be published for a review and
11        comment period of no less than 30 days on the
12        Department's website with final rules remaining
13        available on the Department's website.
14        The rules on payment resolutions shall include, but
15    not be limited to:
16            (A) the extension of the timely filing period;
17            (B) retroactive prior authorizations; and
18            (C) guaranteed minimum payment rate of no less
19        than the current, as of the date of service,
20        fee-for-service rate, plus all applicable add-ons,
21        when the resulting service relationship is out of
22        network.
23        The rules shall be applicable for both MCO coverage
24    and fee-for-service coverage.
25    If the fee-for-service system is ultimately determined to
26have been responsible for coverage on the date of service, the

 

 

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1Department shall provide for an extended period for claims
2submission outside the standard timely filing requirements.
3    (g-6) MCO Performance Metrics Report.
4        (1) The Department shall publish, on at least a
5    quarterly basis, each MCO's operational performance,
6    including, but not limited to, the following categories of
7    metrics:
8            (A) claims payment, including timeliness and
9        accuracy;
10            (B) prior authorizations;
11            (C) grievance and appeals;
12            (D) utilization statistics;
13            (E) provider disputes;
14            (F) provider credentialing; and
15            (G) member and provider customer service.
16        (2) The Department shall ensure that the metrics
17    report is accessible to providers online by January 1,
18    2017.
19        (3) The metrics shall be developed in consultation
20    with industry representatives of the Medicaid managed care
21    health plans and representatives of associations
22    representing the majority of providers within the
23    identified industry.
24        (4) Metrics shall be defined and incorporated into the
25    applicable Managed Care Policy Manual issued by the
26    Department.

 

 

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1    (g-7) MCO claims processing and performance analysis. In
2order to monitor MCO payments to hospital providers, pursuant
3to Public Act 100-580, the Department shall post an analysis
4of MCO claims processing and payment performance on its
5website every 6 months. Such analysis shall include a review
6and evaluation of a representative sample of hospital claims
7that are rejected and denied for clean and unclean claims and
8the top 5 reasons for such actions and timeliness of claims
9adjudication, which identifies the percentage of claims
10adjudicated within 30, 60, 90, and over 90 days, and the dollar
11amounts associated with those claims.
12    (g-8) Dispute resolution process. The Department shall
13maintain a provider complaint portal through which a provider
14can submit to the Department unresolved disputes with an MCO.
15An unresolved dispute means an MCO's decision that denies in
16whole or in part a claim for reimbursement to a provider for
17health care services rendered by the provider to an enrollee
18of the MCO with which the provider disagrees. Disputes shall
19not be submitted to the portal until the provider has availed
20itself of the MCO's internal dispute resolution process.
21Disputes that are submitted to the MCO internal dispute
22resolution process may be submitted to the Department of
23Healthcare and Family Services' complaint portal no sooner
24than 30 days after submitting to the MCO's internal process
25and not later than 30 days after the unsatisfactory resolution
26of the internal MCO process or 60 days after submitting the

 

 

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1dispute to the MCO internal process. Multiple claim disputes
2involving the same MCO may be submitted in one complaint,
3regardless of whether the claims are for different enrollees,
4when the specific reason for non-payment of the claims
5involves a common question of fact or policy. Within 10
6business days of receipt of a complaint, the Department shall
7present such disputes to the appropriate MCO, which shall then
8have 30 days to issue its written proposal to resolve the
9dispute. The Department may grant one 30-day extension of this
10time frame to one of the parties to resolve the dispute. If the
11dispute remains unresolved at the end of this time frame or the
12provider is not satisfied with the MCO's written proposal to
13resolve the dispute, the provider may, within 30 days, request
14the Department to review the dispute and make a final
15determination. Within 30 days of the request for Department
16review of the dispute, both the provider and the MCO shall
17present all relevant information to the Department for
18resolution and make individuals with knowledge of the issues
19available to the Department for further inquiry if needed.
20Within 30 days of receiving the relevant information on the
21dispute, or the lapse of the period for submitting such
22information, the Department shall issue a written decision on
23the dispute based on contractual terms between the provider
24and the MCO, contractual terms between the MCO and the
25Department of Healthcare and Family Services and applicable
26Medicaid policy. The decision of the Department shall be

 

 

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1final. By January 1, 2020, the Department shall establish by
2rule further details of this dispute resolution process.
3Disputes between MCOs and providers presented to the
4Department for resolution are not contested cases, as defined
5in Section 1-30 of the Illinois Administrative Procedure Act,
6conferring any right to an administrative hearing.
7    (g-9)(1) The Department shall publish annually on its
8website a report on the calculation of each managed care
9organization's medical loss ratio showing the following:
10        (A) Premium revenue, with appropriate adjustments.
11        (B) Benefit expense, setting forth the aggregate
12    amount spent for the following:
13            (i) Direct paid claims.
14            (ii) Subcapitation payments.
15            (iii) Other claim payments.
16            (iv) Direct reserves.
17            (v) Gross recoveries.
18            (vi) Expenses for activities that improve health
19        care quality as allowed by the Department.
20    (2) The medical loss ratio shall be calculated consistent
21with federal law and regulation following a claims runout
22period determined by the Department.
23    (g-10)(1) "Liability effective date" means the date on
24which an MCO becomes responsible for payment for medically
25necessary and covered services rendered by a provider to one
26of its enrollees in accordance with the contract terms between

 

 

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1the MCO and the provider. The liability effective date shall
2be the later of:
3        (A) The execution date of a network participation
4    contract agreement.
5        (B) The date the provider or its representative
6    submits to the MCO the complete and accurate standardized
7    roster form for the provider in the format approved by the
8    Department.
9        (C) The provider effective date contained within the
10    Department's provider enrollment subsystem within the
11    Illinois Medicaid Program Advanced Cloud Technology
12    (IMPACT) System.
13    (2) The standardized roster form may be submitted to the
14MCO at the same time that the provider submits an enrollment
15application to the Department through IMPACT.
16    (3) By October 1, 2019, the Department shall require all
17MCOs to update their provider directory with information for
18new practitioners of existing contracted providers within 30
19days of receipt of a complete and accurate standardized roster
20template in the format approved by the Department provided
21that the provider is effective in the Department's provider
22enrollment subsystem within the IMPACT system. Such provider
23directory shall be readily accessible for purposes of
24selecting an approved health care provider and comply with all
25other federal and State requirements.
26    (g-11) The Department shall work with relevant

 

 

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1stakeholders on the development of operational guidelines to
2enhance and improve operational performance of Illinois'
3Medicaid managed care program, including, but not limited to,
4improving provider billing practices, reducing claim
5rejections and inappropriate payment denials, and
6standardizing processes, procedures, definitions, and response
7timelines, with the goal of reducing provider and MCO
8administrative burdens and conflict. The Department shall
9include a report on the progress of these program improvements
10and other topics in its Fiscal Year 2020 annual report to the
11General Assembly.
12    (g-12) Notwithstanding any other provision of law, if the
13Department or an MCO requires submission of a claim for
14payment in a non-electronic format, a provider shall always be
15afforded a period of no less than 90 business days, as a
16correction period, following any notification of rejection by
17either the Department or the MCO to correct errors or
18omissions in the original submission.
19    Under no circumstances, either by an MCO or under the
20State's fee-for-service system, shall a provider be denied
21payment for failure to comply with any timely submission
22requirements under this Code or under any existing contract,
23unless the non-electronic format claim submission occurs after
24the initial 180 days following the latest date of service on
25the claim, or after the 90 business days correction period
26following notification to the provider of rejection or denial

 

 

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1of payment.
2    (h) The Department shall not expand mandatory MCO
3enrollment into new counties beyond those counties already
4designated by the Department as of June 1, 2014 for the
5individuals whose eligibility for medical assistance is not
6the seniors or people with disabilities population until the
7Department provides an opportunity for accountable care
8entities and MCOs to participate in such newly designated
9counties.
10    (h-5) Leading indicator data sharing. By January 1, 2024,
11the Department shall obtain input from the Department of Human
12Services, the Department of Juvenile Justice, the Department
13of Children and Family Services, the State Board of Education,
14managed care organizations, providers, and clinical experts to
15identify and analyze key indicators from assessments and data
16sets available to the Department that can be shared with
17managed care organizations and similar care coordination
18entities contracted with the Department as leading indicators
19for elevated behavioral health crisis risk for children. To
20the extent permitted by State and federal law, the identified
21leading indicators shall be shared with managed care
22organizations and similar care coordination entities
23contracted with the Department within 6 months of
24identification for the purpose of improving care coordination
25with the early detection of elevated risk. Leading indicators
26shall be reassessed annually with stakeholder input.

 

 

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1    (i) The requirements of this Section apply to contracts
2with accountable care entities and MCOs entered into, amended,
3or renewed after June 16, 2014 (the effective date of Public
4Act 98-651).
5    (j) Health care information released to managed care
6organizations. A health care provider shall release to a
7Medicaid managed care organization, upon request, and subject
8to the Health Insurance Portability and Accountability Act of
91996 and any other law applicable to the release of health
10information, the health care information of the MCO's
11enrollee, if the enrollee has completed and signed a general
12release form that grants to the health care provider
13permission to release the recipient's health care information
14to the recipient's insurance carrier.
15    (k) The Department of Healthcare and Family Services,
16managed care organizations, a statewide organization
17representing hospitals, and a statewide organization
18representing safety-net hospitals shall explore ways to
19support billing departments in safety-net hospitals.
20    (l) The requirements of this Section added by Public Act
21102-4 shall apply to services provided on or after the first
22day of the month that begins 60 days after April 27, 2021 (the
23effective date of Public Act 102-4).
24    (m) The Department shall impose sanctions on a managed
25care organization for violating any provision under this
26Section, including, but not limited to, financial penalties,

 

 

HB4980- 22 -LRB103 37674 KTG 67801 b

1suspension of enrollment of new enrollees, and termination of
2the MCO's contract with the Department.
3(Source: P.A. 102-4, eff. 4-27-21; 102-43, eff. 7-6-21;
4102-144, eff. 1-1-22; 102-454, eff. 8-20-21; 102-813, eff.
55-13-22; 103-546, eff. 8-11-23.)
 
6    Section 99. Effective date. This Act takes effect upon
7becoming law.