HB5219 Engrossed

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 Engrossed
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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.