90th General Assembly
Summary of HB0781
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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


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