HB1638 103RD GENERAL ASSEMBLY

LRB103 28271 KTG 54650 b

103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024
HB1638

Introduced 2/1/2023, by Rep. Sharon Chung

SYNOPSIS AS INTRODUCED:

20 ILCS 301/55-31 new
305 ILCS 5/5-41a new

Amends the Substance Use Disorder Act and the Medical Assistance Article of the Illinois Public Aid Code. Provides that a provider, including a provider enrolled in the medical assistance program, that is licensed and contracted by the Department of Human Services to provide Level 3.5 and 3.5D residential services or Level 3.7D withdrawal management services for persons with a substance use disorder shall be paid the contracted rate for the day of discharge if, as a result of the Department's September 1, 2020 changes to reimbursement rates and methodology standards, the provider's contracted reimbursement rate is not sufficient to offset any loss of revenue associated with the Department's prohibition on billing for the day of discharge.

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 Substance Use Disorder Act is amended by adding Section 55-31 as follows:

(20 ILCS 301/55-31 new)

Sec. 55-31. Residential services; day of discharge rate. A provider licensed and contracted by the Department to provide Level 3.5 and 3.5D residential services or Level 3.7D withdrawal management services to persons with a substance use disorder shall be paid the contracted rate for the day of discharge if, as a result of the Department's September 1, 2020 changes to reimbursement rates and methodology standards, the provider's contracted reimbursement rate is not sufficient to offset any loss of revenue associated with the Department's prohibition on billing for the day of discharge.

Section 10. The Illinois Public Aid Code is amended by adding Section 5-41a as follows:

(305 ILCS 5/5-41a new)

Sec. 5-41a. Residential services for substance use disorders; day of discharge rate. A provider enrolled in the medical assistance program that is licensed and contracted by the Department of Human Services' Division of Substance Use Prevention and Recovery to provide Level 3.5 and 3.5D residential services or Level 3.7D withdrawal management services to persons with a substance use disorder shall be paid the contracted rate for the day of discharge under the medical assistance program if, as a result of the Department of Human Services' September 1, 2020 changes to reimbursement rates and methodology standards, the provider's contracted reimbursement rate is not sufficient to offset any loss of revenue associated with the Department's prohibition on billing for the day of discharge.