Bill Text: IL HB1908 | 2021-2022 | 102nd General Assembly | Introduced
Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that if a Medicaid enrollee of a managed care organization is referred by his or her primary care provider to another provider who was on the in-network referral list provided by the managed care organization for a medical service, the managed care organization must cover the medical service from that provider if it was a covered service on the date of referral.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Introduced - Dead) 2021-03-27 - Rule 19(a) / Re-referred to Rules Committee [HB1908 Detail]
Download: Illinois-2021-HB1908-Introduced.html
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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | ||||||||||||||||||||||||
5 | adding Section 5-30.15 as follows:
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6 | (305 ILCS 5/5-30.15 new) | ||||||||||||||||||||||||
7 | Sec. 5-30.15. Guaranteed coverage for referral services; | ||||||||||||||||||||||||
8 | managed care. If a Medicaid enrollee of a managed care | ||||||||||||||||||||||||
9 | organization is referred by his or her primary care provider | ||||||||||||||||||||||||
10 | to another provider who was on the in-network referral list | ||||||||||||||||||||||||
11 | provided by the managed care organization for a medical | ||||||||||||||||||||||||
12 | service, the managed care organization must cover the medical | ||||||||||||||||||||||||
13 | service from that provider if it was a covered service on the | ||||||||||||||||||||||||
14 | date of referral.
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