Bill Text: IL HB4739 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that in order to give providers more time to prepare for and implement changes to the Medicaid Mental Health Fee Schedule and to ensure that the quality and delivery of behavioral health care is not disrupted, the Department of Healthcare and Family Services shall provide an approved Medicaid Mental Health Fee Schedule to all behavioral health care providers no later than 45 days prior to the date such rate change takes effect, unless contrary to federal law and regulation. Requires the Department to obtain federal approval on any Medicaid Mental Health Fee Schedule by submitting all necessary documentation in a timely manner, including, but not limited to, submitting any required State Plan amendments to the federal Centers for Medicare and Medicaid Services. Provides that if the Department is unable to provide 45 days' notice prior to the date such rate change takes effect due to external circumstances beyond the Department's control, the Department must provide a reasonable amount of notice. Provides that nothing in the amendatory Act shall be construed as a requirement to delay or prohibit implementation of rate changes that impact enrollee benefits as determined in the sole discretion of the Department.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Introduced) 2024-05-31 - House Committee Amendment No. 1 Rule 19(c) / Re-referred to Rules Committee [HB4739 Detail]

Download: Illinois-2023-HB4739-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB4739 Introduced , by Rep. Terra Costa Howard SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-2.02 new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that in order to give providers more time to prepare for and implement changes to the Medicaid Mental Health Fee Schedule and to ensure that the quality and delivery of behavioral health care is not disrupted, the Department of Healthcare and Family Services shall provide an approved Medicaid Mental Health Fee Schedule to all behavioral health care providers no later than 45 days prior to the date such rate change takes effect, unless contrary to federal law and regulation. Requires the Department to obtain federal approval on any Medicaid Mental Health Fee Schedule by submitting all necessary documentation in a timely manner, including, but not limited to, submitting any required State Plan amendments to the federal Centers for Medicare and Medicaid Services. Provides that if the Department is unable to provide 45 days' notice prior to the date such rate change takes effect due to external circumstances beyond the Department's control, the Department must provide a reasonable amount of notice. Provides that nothing in the amendatory Act shall be construed as a requirement to delay or prohibit implementation of rate changes that impact enrollee benefits as determined in the sole discretion of the Department.
LRB103 37770 KTG 67899 b
A BILL FOR
HB4739 LRB103 37770 KTG 67899 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 5-2.02 as follows:
(305 ILCS 5/5-2.02 new)
Sec. 5-2.02. Notice of changes to Medicaid Mental Health
Fee Schedule. In order to give providers more time to prepare
for and implement changes to the Medicaid Mental Health Fee
Schedule and to ensure that the quality and delivery of
behavioral health care is not disrupted, the Department shall
do the following:
(1) Unless contrary to federal law and regulation, the
Department must provide an approved Medicaid Mental Health
Fee Schedule to all behavioral health care providers no
later than 45 days prior to the date such rate change takes
effect. The Department shall comply with this Section and
attempt to receive federal approval on any Medicaid Mental
Health Fee Schedule by submitting all necessary
documentation in a timely manner, including, but not
limited to, submitting any required State Plan amendments
to the federal Centers for Medicare and Medicaid Services.
(2) If the Department is unable to provide 45 days'

HB4739 - 2 - LRB103 37770 KTG 67899 b