CURRIE-KRAUSE-HANNIG-FLOWERS AND DAVIS,MONIQUE.
MEDICAID-MANAGED CARE ENTITY
Synopsis of Bill as introduced:
Amends the Medicaid Article of the Public Aid Code. In the
Section concerning the integrated health care program, provides that
if a managed health care entity is accredited by a national
organization, the Department of Public Aid may give preference to that
managed health care entity in selecting participants for the program.
Requires that the medical director of a managed health care entity be
physician. Effective immediately.
FISCAL NOTE (Dpt. of Public Aid)
HB 781 has no fiscal impact on the Dept.
STATE MANDATES FISCAL NOTE
In the opinion of DCCA, HB781 fails to meet the definition of a
HOUSE AMENDMENT NO. 2.
Adds reference to:
305 ILCS 5/5-16.8 new
305 ILCS 5/12-13.1
Deletes everything. Amends the Public Aid Code. In the
"Medicaid" Article, makes the following changes with respect to the
integrated health care program: (1) authorizes the Department of
Public Aid to consider a managed health care entity's accreditation
in selecting program participants; (2) requires managed health care
entities to provide orientation; (3) requires contractors to make a
good faith effort to have program enrollees evaluated; (4) requires
that no payment be made to a physician or other provider for
withholding covered services because of the cost of the services; (5)
authorizes the Dept. to impose penalties or sanctions for violations;
and, (6) requires the Auditor General to conduct an annual performance
audit of the program. Requires managed care organizations to provide
programs for provider and client education. Authorizes the Inspector
General within the Department to establish a special administrative
subdivision to monitor the integrated health care program and to
receive and investigate complaints. Effective immediately.
Last action on Bill: SESSION SINE DIE
Last action date: 99-01-12
Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0
END OF INQUIRY
Full Text Bill Status