Bill Text: IL HB3227 | 2021-2022 | 102nd General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the methodologies for reimbursement under the managed care medical assistance program shall not be applicable to facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013. Provides that covered services provided by facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall be reimbursed at the rates paid under the Illinois Medicaid fee-for-service methodology.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced - Dead) 2021-04-21 - Added Co-Sponsor Rep. Jennifer Gong-Gershowitz [HB3227 Detail]

Download: Illinois-2021-HB3227-Introduced.html

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102ND GENERAL ASSEMBLY State of Illinois 2021 and 2022 HB3227 Introduced , by Rep. William Davis SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-5.6c new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the methodologies for reimbursement under the managed care medical assistance program shall not be applicable to facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013. Provides that covered services provided by facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 shall be reimbursed at the rates paid under the Illinois Medicaid fee-for-service methodology.
LRB102 14187 KTG 19539 b
FISCAL NOTE ACT MAY APPLY
A BILL FOR
HB3227 LRB102 14187 KTG 19539 b
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-5.6c as follows:
(305 ILCS 5/5-5.6c new)
Sec. 5-5.6c. Specialized mental health rehabilitation
facilities; fee-for-service reimbursement. The General
Assembly finds that the sustainability of specialized mental
health rehabilitation facilities and the health of their
Medicaid-eligible residents are threatened by the high rate of
claim denials by managed care organizations. Notwithstanding
any other provision of this Code, the methodologies for
reimbursement under the managed care medical assistance
program shall not be applicable to facilities licensed under
the Specialized Mental Health Rehabilitation Act of 2013.
Covered services provided by facilities licensed under the
Specialized Mental Health Rehabilitation Act of 2013 shall be
reimbursed at the rates paid under the Illinois Medicaid
fee-for-service methodology.