HB4619 102ND GENERAL ASSEMBLY

LRB102 24639 KTG 33877 b

102ND GENERAL ASSEMBLY
State of Illinois
2021 and 2022
HB4619

Introduced 1/21/2022, by Rep. Lindsey LaPointe

SYNOPSIS AS INTRODUCED:

305 ILCS 5/5-5.05d new

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that due to the undue burden placed upon nonprofit organizations providing Medicaid behavioral health services to low-income, complex vulnerable populations, the Department of Healthcare and Family Services shall reimburse providers of Medicaid behavioral health services for the cost of increased staff exclusively dedicated to the sole purpose of pursuing Medicaid managed care claims improperly denied for services offered to Medicaid beneficiaries.

A BILL FOR

AN ACT concerning public aid.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-5.05d as follows:

(305 ILCS 5/5-5.05d new)

Sec. 5-5.05d. Behavioral health services; reimbursement for increased staff. Due to the undue burden placed upon nonprofit organizations providing Medicaid behavioral health services to low-income, complex vulnerable populations, the Department of Healthcare and Family Services shall reimburse providers of Medicaid behavioral health services for the cost of increased staff exclusively dedicated to the sole purpose of pursuing Medicaid managed care claims improperly denied for services offered to Medicaid beneficiaries.