Illinois General Assembly - Bill Status for HB5669
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 Bill Status of HB5669  100th General Assembly


Short Description:  DHFS-MCO/MCE-CLAIMS RPTS

House Sponsors
Rep. Robert Martwick

Last Action
DateChamber Action
  2/16/2018HouseReferred to Rules Committee

Statutes Amended In Order of Appearance
305 ILCS 5/5-30.1
305 ILCS 5/5-30.3


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to report each managed care organization's operational performance concerning actual administrative costs incurred; the medical loss ratios for the previous 4 calendar years; all Medicaid provider payment data for all services; and the amount of denied claims. Requires each managed care entity to self-report the same information and publish it on a monthly basis on the managed care entity's website as soon as practical but no later than July 1, 2018. Requires the Department to: (i) regularly monitor the actual administrative costs incurred by Medicaid Managed Care Entities to ensure that the administrative costs do not exceed what is allowed by contract; (ii) annually calculate the medical loss ratios for the previous 4 calendar years, and beginning no later than July 1, 2018, annually determine whether the State should be reimbursed by the Medicaid Managed Care Entities due to overpayment; (iii) require all Medicaid Managed Care Entities to regularly submit all Medicaid provider payment data for all services; and other duties. Effective immediately.

Actions 
DateChamber Action
  2/16/2018HouseFiled with the Clerk by Rep. Robert Martwick
  2/16/2018HouseFirst Reading
  2/16/2018HouseReferred to Rules Committee

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