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| | 100TH GENERAL ASSEMBLY
State of Illinois
2017 and 2018
SB1773 Introduced 2/9/2017, by Sen. Don Harmon SYNOPSIS AS INTRODUCED:
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Amends the Medical Assistance Article of the Illinois Public Aid Code. In a provision permitting a nursing facility to appeal a change in its Minimum Data Set rate, provides that the facility shall be permitted to offer any and all additional documentation during the appeal hearing that is necessary to refute the State's findings (rather than the facility may not offer any additional documentation during the appeal hearing, but may identify documentation provided during the on-site review that may support a specific area of documentation deemed deficient by the Department of Healthcare and Family Services).
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| | | FISCAL NOTE ACT MAY APPLY | |
| | A BILL FOR |
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| | SB1773 | | LRB100 09919 KTG 20090 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | changing Section 5-5.4g as follows:
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| 6 | | (305 ILCS 5/5-5.4g)
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| 7 | | Sec. 5-5.4g. Minimum Data Set (MDS) Compliance Review; |
| 8 | | preliminary findings. The Department shall establish by rule a |
| 9 | | procedure for sharing preliminary Minimum Data Set (MDS) |
| 10 | | Compliance Review findings with nursing facilities prior to |
| 11 | | completion of the on-site review. The procedure shall include, |
| 12 | | but not be limited to, notification to a nursing facility of |
| 13 | | specific areas of missing documentation required under 89 Ill. |
| 14 | | Adm. Code 147.75 and the federally mandated resident assessment |
| 15 | | instrument as specified in 42 CFR 483.20 likely to be |
| 16 | | determined deficient upon conclusion of the Department's |
| 17 | | quality assurance review process. Prior to the conclusion of |
| 18 | | the on-site review, the facility shall be given the opportunity |
| 19 | | to address the specific areas of missing documentation. A |
| 20 | | facility disputing any rate change may submit an appeal request |
| 21 | | pursuant to provisions established at 89 Ill. Adm. Code |
| 22 | | 140.830. An appeal hearing may be requested if the facility |
| 23 | | believes that the basis for reducing the facility's MDS rate |