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90_SB1420eng
305 ILCS 5/5-5.4 from Ch. 23, par. 5-5.4
305 ILCS 5/5-5.21
Amends the "Medical Assistance" Article of the Public Aid
Code. With respect to standards of payment to long-term care
providers, provides that after June 30, 1998 the payment
rates shall include an update for inflation and shall be
based on the most recent cost reports on file with the
Department no later than April 1 of the current rate year.
With respect to the reimbursement methodology for long-term
care providers, provides that (i) beginning not later than
July 1, 1999 the nursing component of the reimbursement rate
shall be calculated according to a Resource Utilization
Grouping System (RUGS) model and (ii) beginning not later
than July 1, 2000 the capital, support, and nursing
components of the reimbursement rate shall be calculated
according to a methodology that is entirely cost-based.
Effective immediately.
LRB9009801DJcd
SB1420 Engrossed LRB9009801DJcd
1 AN ACT to amend the Illinois Public Aid Code by changing
2 Section 5-5.21.
3 Be it enacted by the People of the State of Illinois,
4 represented in the General Assembly:
5 Section 5. The Illinois Public Aid Code is amended by
6 changing Section 5-5.21 as follows:
7 (305 ILCS 5/5-5.21)
8 Sec. 5-5.21. Reimbursement methodology. The Illinois
9 Department shall form a workgroup comprised of
10 representatives of the Illinois Department, the Illinois
11 Department of Public Health, and members of the long-term
12 care provider community to implement a reimbursement
13 methodology based upon the federally mandated resident
14 assessment instrument. No later than January 1, 1997, the
15 Illinois Department in conjunction with the work group will
16 recommend to the Governor a methodology for determining
17 payment rates for services in nursing facilities based upon
18 the federally mandated resident assessment instrument. No
19 later than June 30, 1997, the Illinois Department shall
20 implement a methodology for determining payment rates for
21 services in nursing facilities based upon federal
22 requirements.
23 (Source: P.A. 89-415, eff. 1-1-96.)
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