093_HB0685enr HB0685 Enrolled LRB093 05503 MKM 05594 b 1 AN ACT concerning public aid. 2 Be it enacted by the People of the State of Illinois, 3 represented in the General Assembly: 4 Section 5. The Illinois Public Aid Code is amended by 5 adding Sections 5-2.05 and 5-2.4 as follows: 6 (305 ILCS 5/5-2.05 new) 7 Sec. 5-2.05. Use of Medicaid spend-down. Persons 8 described in item 2(a) of Section 5-2, who fail to qualify 9 for basic maintenance under Article III of this Code on the 10 basis of need because of excess income or assets, or both, 11 may establish prospective eligibility for that basic 12 maintenance by prepaying their monthly spend-down amount 13 under this Article (as described in 42 CFR 435.831) to the 14 Department of Public Aid or by having a third party pay that 15 amount to the Department. The Department shall establish 16 appropriate procedures to permit such a prepayment of 17 spend-down amounts. 18 (305 ILCS 5/5-2.4 new) 19 Sec. 5-2.4. Determination of spend-down eligibility. In 20 the case of community-based services, long-term care 21 services, and services received in a supportive living 22 facility described in Section 5-5.01a, when determining 23 whether a person has met a spend-down requirement for 24 eligibility under paragraph 2 of Section 5-2, the Department 25 of Public Aid shall allow bills for those services at the 26 usual, customary, or competitive rate for community-based 27 services, as funded by the Department of Human Services and 28 as established by the community-based service provider as 29 part of the provider's policy and procedure concerning the 30 establishment of fees for services. HB0685 Enrolled -2- LRB093 05503 MKM 05594 b 1 Section 99. Effective date. This Act takes effect upon 2 becoming law.