Rep. Fred Crespo

Filed: 4/11/2018

 

 


 

 


 
10000HB5433ham001LRB100 19504 KTG 38407 a

1
AMENDMENT TO HOUSE BILL 5433

2    AMENDMENT NO. ______. Amend House Bill 5433 on page 1, line
35 after "Section 5-30", by inserting "and by adding Section
414-13"; and
 
5on page 14, immediately below line 3, by inserting the
6following:
 
7    "(305 ILCS 5/14-13 new)
8    Sec. 14-13. Hospital inpatient high-volume
9add-on-enhancements.
10    (a) Beginning July 1, 2018, in addition to any other
11payments made by the Department for inpatient Medicaid
12inpatient services, the Department must make add-on
13enhancement payments for each covered inpatient day for any
14patient covered by any medical assistance program administered
15by the Department as follows:
16        (1) For each general acute care hospital with a rate

 

 

10000HB5433ham001- 2 -LRB100 19504 KTG 38407 a

1    Year 2017 Medicaid inpatient utilization rate equal to or
2    greater than 47%, an additional $172 per inpatient day.
3        (2) For each hospital defined as a children's hospital
4    under paragraph (5) of subsection (b) of Section 5-5.02
5    with a rate Year 2017 Medicaid inpatient utilization rate
6    equal to or greater than 59%, an additional $200 per
7    inpatient day.
8        (3) For each critical access hospital, an additional
9    $600 per inpatient day.
10    (b) The Department must require managed care organizations
11to make the same inpatient high-volume add-on enhancements for
12inpatient days of care.".