Sen. Ira I. Silverstein
Filed: 4/19/2010
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1 | AMENDMENT TO HOUSE BILL 5219
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2 | AMENDMENT NO. ______. Amend House Bill 5219 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Illinois Public Aid Code is amended by | ||||||
5 | adding Section 5-5.4f as follows: | ||||||
6 | (305 ILCS 5/5-5.4f new) | ||||||
7 | Sec. 5-5.4f. Minimum Data Set (MDS) Compliance Review; | ||||||
8 | preliminary findings. The Department shall establish by rule a | ||||||
9 | procedure for sharing preliminary Minimum Data Set (MDS) | ||||||
10 | Compliance Review findings with nursing facilities prior to | ||||||
11 | completion of the on-site review. The procedure shall include, | ||||||
12 | but not be limited to, notification to a nursing facility of | ||||||
13 | specific areas of missing documentation required under 89 Ill. | ||||||
14 | Adm. Code 147.75 and the federally mandated resident assessment | ||||||
15 | instrument as specified in 42 CFR 483.20 likely to be | ||||||
16 | determined deficient upon conclusion of the Department's |
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1 | quality assurance review process. Prior to the conclusion of | ||||||
2 | the on-site review, the facility shall be given the opportunity | ||||||
3 | to address the specific areas of missing documentation. A | ||||||
4 | facility disputing any rate change may submit an appeal request | ||||||
5 | pursuant to provisions established at 89 Ill. Adm. Code | ||||||
6 | 140.830. An appeal hearing may be requested if the facility | ||||||
7 | believes that the basis for reducing the facility's MDS rate | ||||||
8 | was in error. The facility may not offer any additional | ||||||
9 | documentation during the appeal hearing, but may identify | ||||||
10 | documentation provided during the on-site review that may | ||||||
11 | support a specific area of documentation deemed deficient by | ||||||
12 | the Department.
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13 | Section 99. Effective date. This Act takes effect upon | ||||||
14 | becoming law.".
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