House Sponsors: CURRIE-KRAUSE-HANNIG-FLOWERS AND DAVIS,MONIQUE. Senate Sponsors: DEL VALLE-TROTTER-GARCIA-SMITH-OBAMA Short description: 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 State mandate. 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 Location: House Amendments to Bill: AMENDMENTS ADOPTED: HOUSE - 1 SENATE - 0 END OF INQUIRY Full Text Bill Status