Illinois General Assembly

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 Bill Status of HB5559  99th General Assembly


Short Description:  MEDICAID ACCESS MONITORING

House Sponsors
Rep. Litesa E. Wallace - Elizabeth Hernandez - Gregory Harris, Kelly M. Cassidy, Carol Ammons, Laura Fine and Cynthia Soto

Last Action
DateChamber Action
  1/10/2017HouseSession Sine Die

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


Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision concerning managed care organizations (MCOs) contracted with the Department of Healthcare and Family Services to provide health services, requires the Department to develop a procedure no later than January 1, 2017 to directly test the provider network directories submitted to the State by each MCO. Provides that the procedure must directly test the accuracy of the information contained in the provider directories, the ability of prospective patients to obtain an appointment, and the timeliness of appointments offered to prospective patients. Requires the Department to develop the procedure in consultation with MCOs, providers, consumer advocacy organizations, and other relevant stakeholders and to contract with a third party with experience developing or evaluating procedures to directly test Medicaid provider availability and access in Illinois and other states. Sets forth certain provider types the Department is required to test for each MCO and mandatory managed care region, including: (i) primary care; (ii) mental health treatment; (iii) adult specialty; (iv) child specialty; and (v) any additional provider types the Department has reason to believe may not exist in sufficient numbers in one or more mandatory managed care regions. Requires the Department to annually publish the data collected in its External Quality Review Technical Report. Permits the Department to adopt any rules necessary to implement these responsibilities. Effective immediately.

Actions 
DateChamber Action
  2/9/2016HouseFiled with the Clerk by Rep. Litesa E. Wallace
  2/10/2016HouseFirst Reading
  2/10/2016HouseReferred to Rules Committee
  3/2/2016HouseAdded Chief Co-Sponsor Rep. Elizabeth Hernandez
  3/9/2016HouseAdded Co-Sponsor Rep. Kelly M. Cassidy
  3/9/2016HouseAdded Chief Co-Sponsor Rep. Gregory Harris
  3/23/2016HouseAssigned to Human Services Committee
  3/24/2016HouseAdded Co-Sponsor Rep. Carol Ammons
  3/24/2016HouseAdded Co-Sponsor Rep. Laura Fine
  3/25/2016HouseAdded Co-Sponsor Rep. Cynthia Soto
  4/8/2016HouseRule 19(a) / Re-referred to Rules Committee
  1/10/2017HouseSession Sine Die

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