Rep. Lee A. Daniels
Filed: 3/24/2004
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1 | AMENDMENT TO HOUSE BILL 5000
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2 | AMENDMENT NO. ______. Amend House Bill 5000, AS AMENDED, | ||||||
3 | with reference to the page and line numbers of House Amendment | ||||||
4 | No. 1, on page 1, by replacing line 5 with the following:
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5 | "by adding Sections 1-35 and 1-36 as follows:"; and | ||||||
6 | on page 1, by replacing lines 13 through 15 with " process and | ||||||
7 | utilize performance-based contracts in the "; and | ||||||
8 | on page 1, by replacing lines 18 and 19 with " competitive | ||||||
9 | selection process and performance measurement. Nothing in this | ||||||
10 | Section "; and | ||||||
11 | on page 1, by replacing lines 22 and 23 with " subject to | ||||||
12 | requests for proposals before January 1, 2004. "; and | ||||||
13 | on page 2, by replacing lines 16 and 17 with " under this | ||||||
14 | project to $64,000,000 with respect to no more than the "; and | ||||||
15 | on page 5, after line 5, by inserting the following: | ||||||
16 | "(20 ILCS 1305/1-36 new)
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17 | Sec. 1-36. Fee-for-service contracts. | ||||||
18 | (a) The Illinois Department of Human Services shall | ||||||
19 | implement policies and procedures for the procurement of |
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1 | community services under its jurisdiction in a manner that will | ||||||
2 | ensure the maximum amount of federal financial participation in | ||||||
3 | the cost of such services. For the community services that may | ||||||
4 | be eligible for federal financial participation, the | ||||||
5 | Department of Human Services may issue and execute contracts | ||||||
6 | that include provisions for payment on a fee-for-service basis | ||||||
7 | after July 1, 2004 under the terms and conditions set forth in | ||||||
8 | this Section. | ||||||
9 | (b) Contracts must ensure that eligible persons receiving | ||||||
10 | services in the fiscal year beginning July 1, 2003 will | ||||||
11 | continue to receive necessary services without interruption. | ||||||
12 | Provider and client relationships necessary to ensure | ||||||
13 | continuity and quality of care shall be preserved. | ||||||
14 | (c) The Department of Human Services, in consultation with | ||||||
15 | the departments of Public Aid, Public Health, and Children and | ||||||
16 | Family Services and the Department on Aging, if applicable to | ||||||
17 | the services under contract, shall adopt rules establishing the | ||||||
18 | criteria, standards, and procedures for the issuance and | ||||||
19 | execution of the fee-for-service contracts. Ninety days before | ||||||
20 | the publication of proposed rules, the Department shall publish | ||||||
21 | a notice of the intent to adopt the rules and conduct public | ||||||
22 | hearings and provide an opportunity for public review and | ||||||
23 | comment. | ||||||
24 | (d) Approved claims for payments for community services | ||||||
25 | under grants or fee-for-service contracts shall be paid in 12 | ||||||
26 | monthly payments equal to 1/12 of the contract or grant amount, | ||||||
27 | to be received no later than the 8th calendar day of each | ||||||
28 | month. The Department may adjust the amount of payments for | ||||||
29 | errors or improper payments. | ||||||
30 | (e) For the fiscal year beginning July 1, 2004, to ensure | ||||||
31 | continuity of services for recipients of community services | ||||||
32 | administered by the Department of Human Services, and to ensure | ||||||
33 | a smooth transition from any payment methodology not based on | ||||||
34 | fee-for-service contracts, the Department shall fund community |
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1 | services provided by individuals, organizations, or agencies | ||||||
2 | meeting conditions of participation through a combination of | ||||||
3 | grants and contracts at amounts at least equal to the amounts | ||||||
4 | in effect for the prior fiscal year beginning July 1, 2003. | ||||||
5 | Grant and contract obligations in effect beginning July 1, 2004 | ||||||
6 | shall at least maintain the service capacity in effect for the | ||||||
7 | prior fiscal year. | ||||||
8 | (f) The Department of Human Services shall conduct a survey | ||||||
9 | of the community services for which it will contract on a | ||||||
10 | fee-for-service basis to determine the cost of services and | ||||||
11 | other factors upon which the rates of payment shall be based. | ||||||
12 | An initial cost survey shall be conducted by September 1, 2004. | ||||||
13 | Subsequent cost surveys shall be conducted by January 1, 2007 | ||||||
14 | and by January 1 every 3 years thereafter. Beginning July 1, | ||||||
15 | 2007, the Department shall, by rule, set rates to be paid for | ||||||
16 | the various types of community services based on the results of | ||||||
17 | the cost surveys required by this Section. ".
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