HB5219 Enrolled

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


 






HB5219 Enrolled
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LRB096 19072 KTG 34463 b




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was in error. The facility may not offer any additional 
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documentation during the appeal hearing, but may identify 
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documentation provided during the on-site review that may 
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support a specific area of documentation deemed deficient by 
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the Department.
 

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