97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3031

 

Introduced 2/23/2011, by Rep. Jim Durkin

 

SYNOPSIS AS INTRODUCED:
 
305 ILCS 5/5-16.6a new

    Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require third-party providers that administer any portion of the medical assistance program to conduct, on a random sampling basis, an annual analysis of the enrollees under their authority. Requires all requests for proposals and associated third-party provider contracts issued by the Department to include a statement notifying third-party providers of this requirement. Effective immediately.


LRB097 06464 KTG 46546 b

 

 

A BILL FOR

 

HB3031LRB097 06464 KTG 46546 b

1    AN ACT concerning public aid.
 
2    Be it enacted by the People of the State of Illinois,
3represented in the General Assembly:
 
4    Section 5. The Illinois Public Aid Code is amended by
5adding Section 5-16.6a as follows:
 
6    (305 ILCS 5/5-16.6a new)
7    Sec. 5-16.6a. Provider contracts; enrollee analysis.
8Beginning on the effective date of this amendatory Act of the
997th General Assembly, the Department shall require
10third-party providers that administer any portion of the
11medical assistance program to conduct, on a random sampling
12basis, an annual analysis of the enrollees under their
13authority. The analysis shall include a review for potential
14fraudulent actions or improvements to address wasteful
15spending. All requests for proposals and associated
16third-party provider contracts issued by the Department shall
17include a statement providing that an annual analysis conducted
18pursuant to this Section is required under the contract.
 
19    Section 99. Effective date. This Act takes effect upon
20becoming law.