Public Act 096-1317
 
HB5219 EnrolledLRB096 19072 KTG 34463 b


  
    AN ACT concerning public aid.
  
 
    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 5-5.4f as follows:
 
    (305 ILCS 5/5-5.4f new)
    Sec. 5-5.4f. Minimum Data Set (MDS) Compliance Review; 
preliminary findings. The Department shall establish by rule a 
procedure for sharing preliminary Minimum Data Set (MDS) 
Compliance Review findings with nursing facilities prior to 
completion of the on-site review.  The procedure shall include, 
but not be limited to, notification to a nursing facility of 
specific areas of missing documentation required under 89 Ill. 
Adm. Code 147.75 and the federally mandated resident assessment 
instrument as specified in 42 CFR 483.20 likely to be 
determined deficient upon conclusion of the Department's 
quality assurance review process.   Prior to the conclusion of 
the on-site review, the facility shall be given the opportunity 
to address the specific areas of missing documentation. A 
facility disputing any rate change may submit an appeal request 
pursuant to provisions established at 89 Ill. Adm. Code 
140.830.  An appeal hearing may be requested if the facility 
believes that the basis for reducing the facility's MDS rate 
was in error. The facility may not offer any additional 
documentation during the appeal hearing, but may identify 
documentation provided during the on-site review that may 
support a specific area of documentation deemed deficient by 
the Department.
 

    Section 99. Effective date. This Act takes effect upon 
becoming law.