Bill Status of HB4347 100th General Assembly
Short Description: MEDICAID-ADULT DENTAL SERVICES
Rep. Robyn Gabel and Carol Ammons
Statutes Amended In Order of Appearance
Synopsis As Introduced
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide dental services to an adult who is otherwise eligible for assistance under the medical assistance program. Provides that targeted dental services, as set forth in a specified exhibit in a federal consent decree, that are provided to adults under the medical assistance program shall be reimbursed at the rates set forth in a specified column in the exhibit for targeted dental services that are provided to persons under the age of 18 under the medical assistance program. Requires the Department to actively monitor the contractual relationship between Managed Care Organizations (MCOs) and a dental administrator contracted by an MCO to provide dental services. Contains provisions concerning the Department's adoption of appropriate data and measures; the inclusion of certain dental performance measures in the Department's Health Plan Comparison Tool and Illinois Medicaid Plan Report Card; and the collection of information about the types of contracted, broad-based care coordination occurring between a MCO and any dental administrator. Prohibits a health plan from attempting to limit the right of medical assistance recipients to obtain dental services from a qualified Medicaid provider. Prohibits the Department from adopting a rule or entering into a contract that prohibits a licensed dentist or dental hygienist from receiving reimbursement under the medical assistance program for a dental encounter. Effective immediately.