Illinois General Assembly - Bill Status for HB2731

Amends the Illinois Public Aid Code. Provides that beginning July 1, 2015, the Department of Healthcare and Family Services shall publish monthly reports on its website on the enrollment of persons in the State's medical assistance program, and the enrollment of recipients of medical assistance into a Medicaid Managed Care Entity contracted by the Department. Provides that the monthly reports shall include certain information for the medical assistance program generally and, separately, for each Medicaid Managed Care Entity contracted by the Department, including: (i) total enrollment and (ii) the number of persons enrolled in the medical assistance program pursuant to the Patient Protection and Affordable Care Act. Requires the Department to annually publish on its website every Medicaid Managed Care Entity's quality metrics outcomes and to make public an independent annual quality review report on the State's Medicaid managed care delivery system. Requires the Department to compile on a monthly basis data on eligibility redeterminations of beneficiaries of medical assistance. Requires the data to be posted on the Department's website and to include certain information, including: (a) the total number of redetermination decisions made in a month and, of that total number, the number of decisions to continue benefits, the number of decisions to change benefits, and the number of decisions to cancel benefits; and (b) if a vendor is procured to assist the Department in the redetermination process, the total number of redetermination decisions made in a month with the involvement of the vendor and without the involvement of the vendor. Effective immediately.

Changes the date upon which the Department of Healthcare and Family Services shall publish the monthly reports required under the introduced bill from "beginning July 1, 2015" to "as soon as practical if the data is reasonably available, but no later than January 1, 2017". In the list of information the monthly reports are required to contain, provides that the reports shall include the number of persons enrolled in the medical assistance program under specified provisions of the Illinois Public Aid Code (rather than the number of persons enrolled in the medical assistance program pursuant to the Patient Protection and Affordable Care Act (Public Law 111-148)). In a provision concerning the percentage of persons enrolled in each Medicaid Managed Care Entity using an auto-assignment algorithm, provides that such percentages shall also report the type of enrollee assigned using an auto-assignment algorithm, including, but not limited to, persons enrolled in the medical assistance program in each of the groups listed in a specified provision of the introduced bill (rather than persons enrolled in the medical assistance program pursuant to the Patient Protection and Affordable Care Act (Public Law 111-148)). Provides that as soon as practical if the data is reasonably available, but no later than January 1, 2017, monthly enrollment reports for each Medicaid Managed Care Entity shall include a breakdown of language preference for enrollees by English, Spanish, and the next 4 most commonly used languages (rather than monthly enrollment reports for each Medicaid Managed Care Entity shall include a breakdown of language preference for enrollees). In a provision concerning compiled and reported data on eligibility redeterminations, provides that such data shall include, "if a vendor is utilized to provide services in support of the Department's redetermination decision process," the total number of redetermination decisions made in a month and, of that total number, the number of decisions to continue "or change" benefits, and the number of decisions to cancel benefits (i) with the involvement of the vendor and (ii) without the involvement of the vendor (rather than if a vendor is procured to assist the Department in the redetermination process, the total number of redetermination decisions made in a month and, of that total number, the number of decisions to continue benefits, the number of decisions to change benefits, and the number of decisions to cancel benefits (i) with the involvement of the vendor and (ii) without the involvement of the vendor). Makes other changes.

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