Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. In provisions exempting certain providers from the 180-day time period to submit a claim or bill for payment, provides that in the case of services for which the Department of Healthcare and Family Services requires paper submittal or hand-pricing, a new 180-day period shall be initiated once the Department notifies the provider of a denial or rejection. Provides that the exception applies to claims initially submitted on or after July 1, 2015 and prior to December 31, 2018. Requires the Department to notify providers of the new 180-day period and requirements. Provides that the Department may authorize resubmittal or payment for unpaid claims past the 180-day period in the case of a provider whose average payment cycle from the start of the 180-day period to payment by the State Comptroller is greater than 30 days and the provider made a good faith effort to make timely payment and did not receive notice of a billing error, denial, or rejection by the Department.

Sponsorship: Partisan Bill (Democrat 1)

Status: (Failed) 2019-01-08 - Session Sine Die [HB5804 Detail]

Text: Latest bill text (Introduced) [HTML]

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