Sen. Ira I. Silverstein
Filed: 4/19/2010
 
 

 




 

 		












09600HB5219sam001

LRB096 19072 KTG 40230 a






1

AMENDMENT TO HOUSE BILL 5219




2
    AMENDMENT NO. ______. Amend House Bill 5219 by replacing 
3
everything after the enacting clause with the following:

 
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 
 


 






09600HB5219sam001
- 2 -
LRB096 19072 KTG 40230 a




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.
 

13
    Section 99. Effective date. This Act takes effect upon 
14
becoming law.".