Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning network adequacy for managed care organizations (MCO) contracted with the Department of Healthcare and Family Services, provides that each MCO shall (i) on a monthly basis, jointly validate with contracted providers any changes in provider information, including, but not limited to, changes concerning new providers, terminated providers, updated address information, hours of operation, or other information that is material to a Medicaid beneficiary in the enrollment and provider selection process; and (ii) be required to produce system reports that validate that all MCO systems reflect updated provider information. Provides that in situations in which an enrolled Medicaid provider renders services based on information obtained after verifying a patient's eligibility and coverage plan through either the Department's current enrollment system or the coverage plan identified by the patient presenting for services, such services shall be considered rendered in good faith. Requires the Department to create and maintain a MCO Performance Metrics Comparison Tool that provides periodic reporting, on at least a quarterly basis, of each MCO's performance in various administrative measures. Requires the tool to be accessible in both a print and online format, with the online format allowing for Medicaid beneficiaries and providers to access additional detailed MCO performance information. Effective immediately.

Spectrum: Moderate Partisan Bill (Democrat 6-1)

Status: (Passed) 2016-08-05 - Public Act . . . . . . . . . 99-0751 [SB3080 Detail]

Text: Latest bill text (Chaptered) [HTML]

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Sponsors

Name	Type	Sponsorship	District	Financial	Encyclopedia	Biography
Senator Donne Trotter [D]	Primary	Sponsored Bills	SD-017	FollowTheMoney	Ballotpedia	VoteSmart
Senator Mattie Hunter [D]	Cosponsor	Sponsored Bills	SD-003	FollowTheMoney	Ballotpedia	VoteSmart
Senator Jacqueline Collins [D]	Cosponsor	Sponsored Bills	SD-016	FollowTheMoney	Ballotpedia	VoteSmart
Senator William Delgado [D]	Cosponsor	Sponsored Bills	SD-002	FollowTheMoney	Ballotpedia	VoteSmart
Representative Gregory Harris [D]	Primary	Sponsored Bills	HD-013	FollowTheMoney	Ballotpedia	VoteSmart
Representative Patricia Bellock [R]	Cosponsor	Sponsored Bills	HD-047	FollowTheMoney	Ballotpedia	VoteSmart
Representative Eddie Jackson [D]	Cosponsor	Sponsored Bills	HD-114	FollowTheMoney	Ballotpedia	VoteSmart

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