HFS - SMART ACT

Calls upon the Governor to instruct the Department of Healthcare and Family Services to ensure any movement of Medicaid lives to HMOs does not result in a reduction of federal revenues garnered through the Hospital Assessment program and ensure that any reimbursement system associated with HMOs must not be implemented prior to receiving written federal approval. Calls upon the Governor to instruct the Department of Healthcare and Family Services to establish a medical loss ratio of no less than 88% for all mandatorily enrolled MCO programs, consistent with practices established under the Integrated Care Pilot Program. Calls upon the Governor to instruct the Department to develop and implement a potentially preventable readmissions policy consistent with Section 15-5 of the Public Aid Code (305 ILCS 5/15-5). Calls upon the Governor to instruct the Department to move immediately to garner federal approval for the Hospital Assessment Program, prescribed in the SMART Act. Calls upon the Governor to include reimbursement policies that, in total, provide for a positive operating margin for safety-net hospitals, as part of the Rate Reform development process. Calls upon the Governor to immediately pay all supplemental hospital payments that have been approved by the Joint Committee on Administrative Rules.