Bill Text: IL HB4383 | 2017-2018 | 100th General Assembly | Engrossed

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that disenrollment of a Medicaid enrollee from a managed care organization under contract with the Department of Healthcare and Family Services shall be in accordance with specified federal requirements whenever a contract is terminated between a Medicaid managed care health plan and a primary care provider that results in a disruption to the Medicaid enrollee's provider-beneficiary relationship. Effective immediately.

Spectrum: Slight Partisan Bill (Democrat 33-14)

Status: (Passed) 2018-08-19 - Public Act . . . . . . . . . 100-0950 [HB4383 Detail]

Download: Illinois-2017-HB4383-Engrossed.html

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HB4383 Engrossed LRB100 17421 KTG 32589 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 5-30.6 as follows:
(305 ILCS 5/5-30.6 new)
Sec. 5-30.6. Disenrollment requirements; managed care
organization. Disenrollment of a Medicaid enrollee from a
managed care organization under contract with the Department
shall be in accordance with the requirements of 42 CFR 438.56
in effect on January 1, 2018. Whenever a contract is terminated
between a Medicaid managed care entity and a primary care
provider that results in a disruption to the enrollee's
provider-patient relationship, the Department shall approve
any request from the enrollee for disenrollment from the plan.
Section 99. Effective date. This Act takes effect upon
becoming law.