IL SB1724 | 2017-2018 | 100th General Assembly

Status

Spectrum: Slight Partisan Bill (Democrat 11-4)
Status: Introduced on February 9 2017 - 25% progression
Action: 2017-05-05 - Rule 3-9(a) / Re-referred to Assignments
Pending: Senate Assignments Committee
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Illinois Public Aid Code. Requires managed care organizations (MCOs) to participate in the Non-Emergency Transportation Services Prior Approval Program (NETSPAP) established under the Code beginning 90 days after the effective date of the amendatory Act. Requires each MCO to submit through NETSPAP for adjudication every unpaid non-emergency transportation claim incurred since January 1, 2012; and requires a NETSPAP contractor to adjudicate such claims without regard to any deadlines for submission or processing that are otherwise applicable. Provides that all non-emergency ambulance service providers seeking reimbursement for prior claims must submit documentation of the transport no later than 150 days after the effective date of the amendatory Act. Provides that upon receipt of approval from the NETSPAP contractor, each MCO shall process and pay all approved claims within 30 days, without requiring any further action by the non-emergency transportation services provider; and that any denial of reimbursement by the NETSPAP contractor may be appealed. Provides that any costs incurred in connection with the review of claims by the NETSPAP contractor shall be the sole responsibility of the MCO. Provides that MCOs shall not unreasonably refuse to contract with ground ambulance services providers and medi-car services providers, shall not unreasonably restrict access to and the availability of ground ambulance services and medi-car services, and shall ensure that recipients of benefits provided under the Department of Healthcare and Family Services' programs shall not be liable for ground ambulance services and medi-car services expenses consistent with federal law and specified provisions of the Illinois Insurance Code and the Illinois Administrative Code. Effective immediately.

Tracking Information

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Title

MEDICAID-MANAGED CARE-AMBULNCE

Sponsors


History

DateChamberAction
2017-05-05SenateRule 3-9(a) / Re-referred to Assignments
2017-04-07SenateRule 2-10 Committee Deadline Established As May 5, 2017
2017-04-06SenateAdded as Co-Sponsor Sen. Pat McGuire
2017-04-04SenateAdded as Co-Sponsor Sen. Andy Manar
2017-03-21SenateAdded as Co-Sponsor Sen. Karen McConnaughay
2017-03-17SenateRule 2-10 Committee Deadline Established As April 7, 2017
2017-03-09SenatePostponed - Executive
2017-03-02SenateAdded as Co-Sponsor Sen. Bill Cunningham
2017-03-01SenateAdded as Co-Sponsor Sen. Napoleon Harris, III
2017-02-28SenateAssigned to Executive
2017-02-28SenateAdded as Co-Sponsor Sen. Cristina Castro
2017-02-24SenateAdded as Co-Sponsor Sen. Michael Connelly
2017-02-17SenateAdded as Co-Sponsor Sen. Thomas Cullerton
2017-02-17SenateAdded as Co-Sponsor Sen. Michael E. Hastings
2017-02-16SenateAdded as Co-Sponsor Sen. Omar Aquino
2017-02-16SenateAdded as Co-Sponsor Sen. Jil Tracy
2017-02-16SenateAdded as Chief Co-Sponsor Sen. Pamela J. Althoff
2017-02-16SenateAdded as Co-Sponsor Sen. Terry Link
2017-02-14SenateAdded as Chief Co-Sponsor Sen. Kimberly A. Lightford
2017-02-09SenateReferred to Assignments
2017-02-09SenateFirst Reading
2017-02-09SenateFiled with Secretary by Sen. Antonio Muñoz

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-30Amended CodeCitation Text

Illinois State Sources


Bill Comments

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