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| | 103RD GENERAL ASSEMBLY
State of Illinois
2023 and 2024 HB2549 Introduced 2/15/2023, by Rep. Elizabeth "Lisa" Hernandez SYNOPSIS AS INTRODUCED: |
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Amends the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall provide each managed care organization with the quarterly fee-for-service facility-specific nursing component (rather than facility-specific RUG-IV nursing component) per diem along with any add-ons for enhanced care services, support component per diem, and capital component per diem effective for each nursing home under contract with the managed care organization. Provides that no managed care contract shall provide for a level of reimbursement lower than the fee-for-service rate in effect for the facility at the time service is rendered. Effective immediately.
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| | A BILL FOR |
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| | HB2549 | | LRB103 29881 KTG 56292 b |
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1 | | AN ACT concerning public aid.
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2 | | Be it enacted by the People of the State of Illinois,
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3 | | represented in the General Assembly:
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4 | | Section 5. The Illinois Public Aid Code is amended by |
5 | | changing Section 5F-35 as follows: |
6 | | (305 ILCS 5/5F-35) |
7 | | Sec. 5F-35. Reimbursement. The Department shall provide |
8 | | each managed care organization with the quarterly |
9 | | fee-for-service facility-specific RUG-IV nursing component per |
10 | | diem along with any add-ons for enhanced care services, |
11 | | support component per diem, and capital component per diem |
12 | | effective for each nursing home under contract with the |
13 | | managed care organization. No managed care contract shall |
14 | | provide for a level of reimbursement lower than the |
15 | | fee-for-service rate in effect for the facility at the time |
16 | | service is rendered.
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17 | | (Source: P.A. 98-651, eff. 6-16-14.)
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18 | | Section 99. Effective date. This Act takes effect upon |
19 | | becoming law.
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