State of Illinois
90th General Assembly
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90_HB2478

      305 ILCS 5/5-5d new
          Amends the Medicaid  Article  of  the  Public  Aid  Code.
      Provides  that    if  the  Department  of  Public  Aid pays a
      provider of medical services an  amount that is less than the
      correct amount of reimbursement for those  services under the
      Code,  the  provider  may   recover   the   amount   of   the
      underpayment  from  the  Department,  including  by  means of
      setoff against  the amount of any  overpayment  made  by  the
      Department  to  the  provider.   A    provider may recover an
      underpayment  at  any  time  without  regard  to  when    the
      underpayment occurred.
                                                     LRB9006677DJcd
                                               LRB9006677DJcd
 1        AN ACT to amend the Illinois Public Aid  Code  by  adding
 2    Section  5-5d.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5. The Illinois Public Aid  Code  is  amended  by
 6    adding Section  5-5d as follows:
 7        (305 ILCS 5/5-5d new)
 8        Sec.  5-5d.  Underpayments to providers.  If the Illinois
 9    Department  pays a provider of  medical  services  an  amount
10    that  is  less  than the correct  amount of reimbursement for
11    those services under this Code, the provider  may recover the
12    amount of the  underpayment  from  the  Illinois  Department,
13    including  by  means  of  setoff  against  the  amount of any
14    overpayment made  by the Illinois Department to the provider.
15    A provider may recover an  underpayment under this Section at
16    any time without regard to when the  underpayment occurred.

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