Illinois General Assembly - Bill Status for HB5641

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to establish, within 6 months after the effective date of the amendatory Act, uniform procedures to identify, investigate, and resolve potential cases of fraud, misrepresentation, or inadequate documentation prior to determining an applicant's eligibility for medical assistance under the Code. Requires the Department to establish a computerized income eligibility verification system in order to verify eligibility, eliminate duplication of assistance, and deter fraud. Provides that prior to awarding medical assistance or continuing such assistance, the Department shall match the social security number of each applicant and recipient against unearned income information maintained by the Internal Revenue Service; employer quarterly reports of income and unemployment insurance payment information maintained by the Department of Employment Security; immigration status information maintained by the U.S. Citizenship and Immigration Services; and other State and federal informational databases. Contains provisions concerning the procedures the Department shall follow when discovering a discrepancy between an applicant's or recipient's social security number and information contained in specified databases. Contains provisions concerning reporting requirements and third-party entities contracted to review or to provide information to facilitate the review of eligibility criteria for individuals enrolled in the medical assistance program prior to the effective date of the amendatory Act. Effective immediately.

Replaces everything after the enacting clause with substantially similar provisions, but with the following changes: Removes a provision defining terms. Provides that prior to awarding or continuing medical assistance, the Department of Healthcare and Family Services shall, to the extent such databases are available to the Department, match the name, date of birth, and social security number of each applicant and recipient against specified databases and information tools (rather than prior to awarding or continuing medical assistance, the Department of Healthcare and Family Services shall match the social security number of each applicant and recipient against specified databases and information tools). Provides that the Department shall match the name, date of birth, and social security number of each applicant and recipient against a database of all persons who currently hold a license, permit, or certificate from a State agency (rather than a database of all persons who currently hold a license, permit, or certificate from a State agency the cost of which exceeds $1,000). Adds language providing that prior to awarding or continuing medical assistance, the Department shall match the name, date of birth, and social security number of each applicant and recipient against specified public records. Removes a provision concerning reporting requirements. Removes a provision permitting the Department to use the computerized income eligibility verification system to review eligibility criteria for individuals enrolled for coverage under the medical assistance program prior to the effective date of this amendatory Act. Adds a provision providing that the applicant or recipient shall have an opportunity for a fair hearing in the event of any adverse action affecting eligibility for medical assistance. Makes some technical changes. Effective immediately.

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