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1 | AN ACT concerning public aid.
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2 | Be it enacted by the People of the State of Illinois,
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3 | represented in the General Assembly:
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4 | Section 5. The Illinois Public Aid Code is amended by | ||||||||||||||||||||||||
5 | changing Section 5-2.01 as follows: | ||||||||||||||||||||||||
6 | (305 ILCS 5/5-2.01) | ||||||||||||||||||||||||
7 | Sec. 5-2.01. Medicaid accountability through transparency | ||||||||||||||||||||||||
8 | program. | ||||||||||||||||||||||||
9 | (a) Internet-based transparency program. The Director of | ||||||||||||||||||||||||
10 | the Department of Healthcare and Family Services shall be | ||||||||||||||||||||||||
11 | authorized to implement a program under which the Department | ||||||||||||||||||||||||
12 | Director shall make available through the Department's public | ||||||||||||||||||||||||
13 | Internet website information on medical claims reimbursed | ||||||||||||||||||||||||
14 | under the State's medical assistance program insofar as such | ||||||||||||||||||||||||
15 | information has been de-identified in accordance with | ||||||||||||||||||||||||
16 | regulations promulgated pursuant to the Illinois Health | ||||||||||||||||||||||||
17 | Insurance Portability and Accountability Act. In implementing | ||||||||||||||||||||||||
18 | the program, the Department Director shall ensure the | ||||||||||||||||||||||||
19 | following: | ||||||||||||||||||||||||
20 | (1) The information made so available shall be in a | ||||||||||||||||||||||||
21 | format that is easily accessible, useable, and | ||||||||||||||||||||||||
22 | understandable to the public, including individuals | ||||||||||||||||||||||||
23 | interested in improving the quality of care provided to |
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1 | individuals eligible for items and services under this | ||||||
2 | Article, researchers, health care providers, and | ||||||
3 | individuals interested in reducing the prevalence of waste | ||||||
4 | and fraud under this Article. | ||||||
5 | (2) The information made so available shall be as | ||||||
6 | current as deemed practical by the Department Director and | ||||||
7 | shall be updated at least once per calendar quarter. | ||||||
8 | (3) The information made so available shall be | ||||||
9 | aggregated to a level to ensure patient confidentiality, | ||||||
10 | but shall, to the extent feasible, allow for posting of | ||||||
11 | information by provider or vendor name and county, number | ||||||
12 | of individuals served, total patient visits, payment for | ||||||
13 | bills submitted, average cost for bills submitted, | ||||||
14 | adjustments to payments, and total amounts paid. | ||||||
15 | (4) The Department Director periodically solicits | ||||||
16 | comments from a sampling of individuals who access the | ||||||
17 | information through the program on how to best improve the | ||||||
18 | utility of the program. | ||||||
19 | (b) Use of contractor. For purposes of implementing the | ||||||
20 | program under subsection (a) of this Section and ensuring the | ||||||
21 | information made available through the program is periodically | ||||||
22 | updated, the Department Director may select and enter into a | ||||||
23 | contract with a public or private entity meeting the criteria | ||||||
24 | and qualifications the Department Director determines | ||||||
25 | appropriate. | ||||||
26 | (c) Annual Reports. Not later than 12 months after the |
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1 | effective date of this amendatory Act of the 96th General | ||||||
2 | Assembly and annually thereafter, the Department Director | ||||||
3 | shall submit to the General Assembly a report on the status of | ||||||
4 | the program authorized under subsection (a). The report shall | ||||||
5 | include details including, but not limited to, the estimated or | ||||||
6 | actual costs of developing and maintaining the reporting | ||||||
7 | system, the actual or potential benefit or adverse consequences | ||||||
8 | associated with the system, and, if applicable, the extent to | ||||||
9 | which information made available through the program is | ||||||
10 | accessed and the extent to which comments received under | ||||||
11 | paragraph (4) of subsection (a) of this Section were used to | ||||||
12 | improve the utility of the program.
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13 | (Source: P.A. 96-941, eff. 6-25-10.)
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14 | Section 99. Effective date. This Act takes effect upon | ||||||
15 | becoming law.
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