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Synopsis As Introduced Amends the Illinois Public Aid Code. Changes the heading of Article V-F to the Nursing Home Residents' Managed Care Rights Law (rather than the Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law). Expands the scope of the Article to apply to policies and contracts for the nursing home component of any Medicaid managed care program established by statute, rule, or contract, including, but not limited to, the Medicare-Medicaid Alignment Initiative Program, the Integrated Care Program, the HealthChoices Program, the Managed Long-Term Services and Support Program, and any and all successor programs. Grants the Department of Healthcare and Family Services rulemaking authority to implement this provision. Makes changes to the definitions for "enrollee", "managed care organization", and "transition period". Effective immediately.
Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Provides that, to reduce the number of claim denials resulting from coverage plan errors, the Department of Healthcare and Family Services shall provide each nursing home enrolled in one or more Medicaid managed care networks with corresponding patient credit files at the same time the Department provides the files to the managed care organization.
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