SB0321enr 100TH GENERAL ASSEMBLY

SB0321 Enrolled LRB100 05106 MJP 15116 b

AN ACT concerning regulation.

Be it enacted by the People of the State of Illinois, represented in the General Assembly:

Section 5. The Illinois Public Aid Code is amended by adding Section 5-30.6 as follows:

(305 ILCS 5/5-30.6 new)

Sec. 5-30.6. Performance audits. No later than June 30, 2018, the Auditor General shall initiate a performance audit of the Department of Healthcare and Family Services to determine the Department's compliance with the requirements of Section 5-30.3. The determinations shall include, but not be limited to: (i) whether the Department has developed and applied standardized quality performance measures to Medicaid Managed Care Entities; (ii) whether it has developed and implemented algorithms for automatic assignment of Medicaid enrollees into managed care entities; and (iii) whether the standardized quality performance measures and algorithms developed by the Department use measurable quality metrics, are developed and applied according to the statutory criteria, and are adequately documented.