92nd General Assembly
Summary of SB2225
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Short description: 
MEDICAID-VENDOR PARTICIPATION                                              

Synopsis of Bill as introduced:
        Amends the Illinois Public Aid Code. Provides that enrollment  of      
   a  vendor  that  provides  medical  transportation  under the Medicaid      
   program shall be conditional  for  180  days  and  may  be  terminated      
   without  cause.  Provides  that  if  a vendor has been terminated from      
   participation in the Medicaid program due to fraud, the vendor may  be      
   barred  from  participation  for a longer period. Provides that if the      
   Department of Public Aid establishes through an administrative hearing      
   that overpayments to a vendor resulted from the  vendor  knowingly  or      
   through  gross  negligence  making,  or  causing  to  be made, a false      
   statement or misrepresentation of a material fact in  connection  with      
   billings  and  payments under the Medicaid program, the Department may      
   recover interest on the amount of the overpayments at the rate  of  5%      
   per  annum.  With respect to Medicaid payments withheld from a vendor,      
   provides for a vendor's request for full or  partial  release  of  the      
   withheld  payments,  and  requires  the  Department  of  Public Aid to      
   complete proceedings in a timely manner. Effective immediately.             
        SENATE AMENDMENT NO. 1.                                                
        Deletes everything. Amends the  Illinois  Public  Aid  Code  with      
   provisions  substantially  similar to those of the bill as introduced,      
   with changes that include the following: (1) limits application of the      
   conditional  180-day   enrollment   of   vendors   providing   medical      
   transportation    to    vendors    providing   non-emergency   medical      
   transportation, as defined by the Department of Public  Aid  by  rule;      
   (2)  provides  that  termination  of  a  vendor's participation is not      
   subject to the Department's hearing process (instead of not subject to      
   particular statutory notice and hearing  requirements);  (3)  provides      
   for  recovery  of  interest  on  overpayments  if  a  vendor willfully      
   (instead of knowingly or  through  gross  negligence)  makes  a  false      
   statement   or  misrepresentation  in  connection  with  billings  and      
   payments;  (4)  removes  provisions  for  recovery  of   interest   on      
   overpayments  if  the  overpayments  resulted  from  the  provision of      
   services by an individual or entity that  was  ineligible  to  provide      
   services  under the Medicaid program; and (5) provides that vendors of      
   non-emergency  medical  transportation  services  must  submit  to   a      
   fingerprint-based  criminal  background  check  and may be required to      
   post a surety bond. Effective immediately.                                  
Last action on Bill: PUBLIC ACT.............................. 92-0789

   Last action date: AUG-06-2002

           Location: Senate

 Amendments to Bill: AMENDMENTS ADOPTED: HOUSE -   0     SENATE -   1


 Full Text  Bill Status