MEDICAID-MANAGED CARE PAYMENTS
Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require managed care organizations (MCOs) to ensure: (1) that any provider under contract with an MCO on the date of service shall be paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; (2) that all contracted providers are listed on an updated roster within 7 days of entering into a contract with the MCO; and (3) that the roster under item (2) is readily accessible by all medical assistance enrollees for purposes of selecting an approved healthcare provider. Requires the Department to require MCOs to expedite payments to providers based on specified criteria (rather than providing that the Department may establish a process for MCOs to expedite payments to providers based on criteria established by the Department). Contains provisions concerning discharge notifications and facility placements and other matters. Effective immediately.
Bill status
in committee
1 of 4 stages cleared
Introduction
Feb 2019
Committee Review
Floor Vote
Governor
Introduced Feb 15, 2019
Last action May 31, 2019
Floor votes
How they voted
No floor votes recorded yet.
Full legislative history
Actions timeline
Total actions
13
Key actions
1
Committee
6
May 31, 2019
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
May 15, 2019
Committee
Re-assigned to Executive
upper
Mar 28, 2019
Committee
Rule 3-9(a) / Re-referred to Assignments
upper
Mar 22, 2019
Upper · Passed
Rule 2-10 Committee Deadline Established As March 28, 2019
upper
Feb 27, 2019
Committee
Assigned to Special Committee on Oversight of Medicaid Managed Care
upper
Feb 15, 2019
Committee
Referred to Assignments
upper
0 primary · 4 co-sponsors
Sponsors
No sponsor information available.
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