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| | 100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
SB2447 Introduced 1/30/2018, by Sen. Laura M. Murphy SYNOPSIS AS INTRODUCED:
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that no later than January 1, 2019, the Auditor General shall initiate a performance audit of the Department of Healthcare and Family Services to determine the Department's compliance with certain requirements concerning Medicaid Managed Care Entities. Provides that the determinations shall include, but not be limited to: (i) whether the Department has developed and applied standardized quality performance measures to Medicaid Managed Care Entities; (ii) whether it has developed and implemented algorithms for automatic assignment of Medicaid enrollees into managed care entities; and (iii) whether the standardized quality performance measures and algorithms developed by the Department use measurable quality metrics, are developed and applied according to the statutory criteria, and are adequately documented. Effective immediately.
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | SB2447 | | LRB100 17235 KTG 32394 b |
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| 1 | | AN ACT concerning regulation.
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| 2 | | Be it enacted by the People of the State of Illinois, |
| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-30.6 as follows:
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| 6 | | (305 ILCS 5/5-30.6 new) |
| 7 | | Sec. 5-30.6. Performance audits. No later than January 1, |
| 8 | | 2019, the Auditor General shall initiate a performance audit of |
| 9 | | the Department of Healthcare and Family Services to determine |
| 10 | | the Department's compliance with the requirements of Section |
| 11 | | 5-30.3. The determinations shall include, but not be limited |
| 12 | | to: (i) whether the Department has developed and applied |
| 13 | | standardized quality performance measures to Medicaid Managed |
| 14 | | Care Entities; (ii) whether it has developed and implemented |
| 15 | | algorithms for automatic assignment of Medicaid enrollees into |
| 16 | | managed care entities; and (iii) whether the standardized |
| 17 | | quality performance measures and algorithms developed by the |
| 18 | | Department use measurable quality metrics, are developed and |
| 19 | | applied according to the statutory criteria, and are adequately |
| 20 | | documented.
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| 21 | | Section 99. Effective date. This Act takes effect upon |
| 22 | | becoming law. |