HB5219eng 96TH GENERAL ASSEMBLY

HB5219 Engrossed LRB096 19072 KTG 34463 b

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 5-5.4f as follows:

(305 ILCS 5/5-5.4f new)

Sec. 5-5.4f. Minimum Data Set (MDS) Compliance Review. The Department shall establish by rule a procedure for a Minimum Data Set (MDS) Compliance Review. The procedure shall include, but not be limited to, verbal notice to a nursing facility of specific deficiencies in documentation required under Section 147.175 of the Illinois Administrative Code and the federally mandated resident assessment instrument as specified in 42 CFR 483.20. Verbal notice shall be given no later than the close of each survey day. If given the opportunity, timeframes for the nursing facility to provide the missing documentation shall be no more restrictive than those in effect as of January 15, 2010. The provider may request an administrative review if, after receiving the final determination, the provider believes that the basis for reducing the facility's MDS rate was in error. The provider may not offer any additional documentation during the administrative review conference, but may point out documentation that was provided and overlooked by the Department in making its final determination. If disputes still exist after the conference, the final determination shall be made by the Director of Medical Programs.

Section 99. Effective date. This Act takes effect upon becoming law.