100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
Introduced , by Rep. Fred Crespo
SYNOPSIS AS INTRODUCED:
Amends the Medical Assistance Article of the Illinois Public Aid Code.
Provides that notwithstanding any other provision of law, the Department of
Healthcare and Family Services shall not require children made eligible for
medical assistance through any home and community-based services waiver
program for medically fragile and technology dependent children authorized
under the Social Security Act to enroll in or transition to the State's
managed care medical assistance program. Provides that any medically
fragile and technology dependent child who is enrolled in the State's
managed care medical assistance program on or before the effective date of
the amendatory Act shall be given the option to disenroll from the State's
managed care medical assistance program and receive medical assistance
coverage under the State's traditional fee-for-service program.
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A BILL FOR
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AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
The Illinois Public Aid Code is amended by
changing Section 5-2b as follows:
(305 ILCS 5/5-2b)
Medically fragile and technology dependent
children eligibility and program.
Notwithstanding any other provision of law, on and
after September 1, 2012, subject to federal approval, medical
assistance under this Article shall be available to children
who qualify as persons with a disability, as defined under the
federal Supplemental Security Income program and who are
medically fragile and technology dependent. The program shall
allow eligible children to receive the medical assistance
provided under this Article in the community and must maximize,
to the fullest extent permissible under federal law, federal
reimbursement and family cost-sharing, including co-pays,
premiums, or any other family contributions, except that the
Department shall be permitted to incentivize the utilization of
selected services through the use of cost-sharing adjustments.
The Department shall establish the policies, procedures,
standards, services, and criteria for this program by rule.