96TH GENERAL ASSEMBLY
State of Illinois
2009 and 2010
HB5219


 
Introduced 2/3/2010, by Rep. Lou Lang - Dan Brady
 
SYNOPSIS AS INTRODUCED:
 		





 







305 ILCS 5/5-5.4f new











     Amends the Medical Assistance Article of the Illinois Public Aid Code.  Provides that the Department of Healthcare and Family Services shall establish by rule a procedure for a Minimum Data Set (MDS) Compliance Review.  Provides that the procedure shall include, but not be limited to, verbal notice to a nursing  facility of specific deficiencies in documentation required under the Illinois Administrative Code and the federally mandated resident assessment instrument. Further provides that verbal notice shall be given no later than the close of each survey day and that the  timeframes for the nursing facility to provide the missing documentation shall be no more  restrictive than those in effect as of January 15, 2010. Permits the provider to request an administrative review if, after receiving the final determination, the provider believes that the basis for reducing the facility's MDS rate was in error.  Effective immediately.
  















LRB096 19072 KTG 34463 b

















 


 


A BILL FOR









 




  






HB5219

LRB096 19072 KTG 34463 b





  
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    AN ACT concerning public aid.
  
 
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    Be it enacted by the People of the State of Illinois,
 
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represented in the General Assembly:
  
 
 
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    Section 5. The Illinois Public Aid Code is amended  by 
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adding Section 5-5.4f as follows:
 
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    (305 ILCS 5/5-5.4f new)
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    Sec. 5-5.4f. Minimum Data Set (MDS) Compliance Review. The 
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Department shall establish by rule a procedure for a Minimum 
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Data Set (MDS) Compliance Review.  The procedure shall include, 
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but not be limited to, verbal notice to a nursing  facility of 
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specific deficiencies in documentation required under Section 
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147.175 of the Illinois Administrative Code and the federally 
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mandated resident assessment instrument as specified in 42 CFR 
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483.20. Verbal notice shall be given no later than the close of 
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each survey day. If given the opportunity, timeframes for the 
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nursing facility to provide the missing documentation shall be 
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no more  restrictive than those in effect as of January 15, 
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2010.  The provider may request an administrative review if, 
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after receiving the final determination, the provider believes 
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that the basis for reducing the facility's MDS rate was in 
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error.  The provider may  not offer any additional documentation 
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during the administrative review conference, but may point out 
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documentation that was provided and overlooked by the 
 


 






HB5219
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LRB096 19072 KTG 34463 b




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Department in making its final determination. If disputes still 
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exist after the conference, the final determination shall be 
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made by the Director of Medical Programs.
 
 
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    Section 99. Effective date. This Act takes effect upon 
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becoming law.