HB4038 101ST GENERAL ASSEMBLY

LRB101 15551 KTG 64894 b

101ST GENERAL ASSEMBLY
State of Illinois
2019 and 2020
HB4038

Introduced 1/8/2020, by Rep. William Davis

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.6c new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the methodologies for reimbursement under the managed care medical assistance program shall not be applicable to facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013. Provides that covered services provided by facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall be reimbursed at the rates paid under the Illinois Medicaid fee-for-service methodology.

FISCAL NOTE ACT MAY APPLY

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-5.6c as follows:

(305 ILCS 5/5-5.6c new)

Sec. 5-5.6c. Specialized mental health rehabilitation facilities; fee-for-service reimbursement. The General Assembly finds that the sustainability of specialized mental health rehabilitation facilities and the health of their Medicaid-eligible residents are threatened by the high rate of claim denials by managed care organizations. Notwithstanding any other provision of this Code, the methodologies for reimbursement under the managed care medical assistance program shall not be applicable to facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013. Covered services provided by facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall be reimbursed at the rates paid under the Illinois Medicaid fee-for-service methodology.