Illinois General Assembly - Illinois Compiled Statutes

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305 ILCS 5/5-16.12

(305 ILCS 5/5-16.12)

(Text of Section before amendment by P.A. 103-650)

Sec. 5-16.12.

Managed Care Reform and Patient Rights Act.

The medical
assistance
program and other programs administered by the Department are subject to the
provisions of the Managed Care Reform and Patient Rights Act.
The
Department may adopt rules
to
implement those provisions.  These rules shall require compliance with
that Act in
the medical assistance managed care programs and other programs administered by
the Department.  The medical assistance
fee-for-service program is not subject to the provisions of the Managed Care
Reform and Patient Rights Act.

Nothing in the Managed Care Reform and Patient Rights Act shall be
construed to mean that the Department is a health care plan as defined in that
Act simply because the Department enters into contractual relationships with
health care plans.

(Source: P.A. 91-617, eff. 1-1-00.)

(Text of Section after amendment by P.A. 103-650)
Sec. 5-16.12. Managed Care Reform and Patient Rights Act.

The medical assistance program and other programs administered by the Department are subject to the provisions of the Managed Care Reform and Patient Rights Act. The Department may adopt rules to implement those provisions. These rules shall require compliance with that Act in the medical assistance managed care programs and other programs administered by the Department. The medical assistance fee-for-service program is not subject to the provisions of the Managed Care Reform and Patient Rights Act, except for Sections 85 and 87 of the Managed Care Reform and Patient Rights Act and for any definition in Section 10 of the Managed Care Reform and Patient Rights Act that applies to Sections 85 and 87 of the Managed Care Reform and Patient Rights Act.

Nothing in the Managed Care Reform and Patient Rights Act shall be construed to mean that the Department is a health care plan as defined in that Act simply because the Department enters into contractual relationships with health care plans; provided that this clause shall not defeat the applicability of Sections 10, 85, and 87 of the Managed Care Reform and Patient Rights Act to the fee-for-service program.

(Source: P.A. 103-650, eff. 1-1-25.)