100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
HB0508

 

Introduced , by Rep. Kathleen Willis

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-30.6 new

    Amends the Illinois Public Aid Code. Provides that mobile specialty care providers that serve children enrolled in a managed care organization shall not be required to obtain prior authorization in order to receive reimbursement for all services within the normal scope of chronic disease management, including, but not limited to, asthma, diabetes, obesity, and reproductive health. Requires mobile specialty care providers to make all reasonable attempts, as defined by rule of the Department of Healthcare and Family Services, to connect the children they serve to their primary care physician or an appropriate hospital defined as a Safety-Net Hospital under the Code to maintain a proper medical home. Defines "mobile specialty care provider". Requires the Department to adopt any rules necessary to implement these provisions. Effective July 1, 2017.


LRB100 05459 KTG 15719 b

FISCAL NOTE ACT MAY APPLY

 

 

A BILL FOR

 

HB0508LRB100 05459 KTG 15719 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-30.6 as follows:
 
6    (305 ILCS 5/5-30.6 new)
7    Sec. 5-30.6. Mobile specialty care providers;
8reimbursement. Mobile specialty care providers that serve
9children enrolled in a managed care organization shall not be
10required to obtain prior authorization in order to receive
11reimbursement for all services within the normal scope of
12chronic disease management, including, but not limited to,
13asthma, diabetes, obesity, and reproductive health. Mobile
14specialty care providers must make all reasonable attempts, as
15defined by Department rule, to connect the children they serve
16to their primary care physician or an appropriate hospital
17defined as a Safety-Net Hospital under Section 5-5e.1 of this
18Code to maintain a proper medical home. As used in this
19Section, "mobile specialty care provider" means a mobile-based
20entity that utilizes vehicles outfitted with diagnostic
21equipment and staff to provide medical treatment for a chronic
22disease or condition. The Department shall adopt any rules
23necessary to implement this Section.
 

 

 

HB0508- 2 -LRB100 05459 KTG 15719 b

1    Section 99. Effective date. This Act takes effect July 1,
22017.