Illinois General Assembly - Full Text of HB3894
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Full Text of HB3894  100th General Assembly

HB3894 100TH GENERAL ASSEMBLY

  
  

 


 
100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB3894

 

Introduced , by Rep. Robyn Gabel

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-35 new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that every contract the Department of Healthcare and Family Services enters into with a managed care organization shall require the managed care organization to: (i) conduct a health assessment on all Medicaid enrollees; and (ii) make at least 3 attempts to contact a Medicaid enrollee within 120 days of a scheduled health assessment if the Medicaid enrollee has not undergone the health assessment by the time scheduled. Provides that every contract the Department enters into with a managed care organization shall also provide that if after 3 attempts the managed care organization is unable to make contact with the Medicaid enrollee, then the Medicaid enrollee shall be removed from the manage care organization's health plan and enrolled in the State's Medicaid fee-for-service program.


LRB100 10149 KTG 20330 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB3894LRB100 10149 KTG 20330 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-35 as follows:
 
6    (305 ILCS 5/5-35 new)
7    Sec. 5-35. Health assessments; managed care organization.
8Every contract the Department enters into with a managed care
9organization shall require the managed care organization to:
10        (i) conduct a health assessment on all Medicaid
11    enrollees; and
12        (ii) make at least 3 attempts to contact a Medicaid
13    enrollee within 120 days of a scheduled health assessment
14    if the Medicaid enrollee has not undergone the health
15    assessment by the time scheduled.
16    Every contract the Department enters into with a managed
17care organization shall also provide that if after 3 attempts
18the managed care organization is unable to make contact with
19the Medicaid enrollee, then the Medicaid enrollee shall be
20removed from the manage care organization's health plan and
21enrolled in the State's Medicaid fee-for-service program.