Full Text of HB1470 97th General Assembly
HB1470 97TH GENERAL ASSEMBLY |
| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012 HB1470 Introduced , by Rep. Thomas Holbrook SYNOPSIS AS INTRODUCED: |
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Amends the Medical Assistance Article of the Illinois Public Aid Code. In regards to all changes in status of Medicaid recipients
residing in Illinois nursing facilities, requires the Department of Healthcare and Family Services to report to the appropriation committees of both chambers hearing the agency's budget on the status of implementation, estimates of the cost of full implementation and recommendations for compliance no later than January 1, 2012. Effective immediately.
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| | A BILL FOR |
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| 1 | | AN ACT concerning public aid.
| 2 | | Be it enacted by the People of the State of Illinois,
| 3 | | represented in the General Assembly:
| 4 | | Section 5. The Illinois Public Aid Code is amended by | 5 | | changing Section 5-1.2 as follows:
| 6 | | (305 ILCS 5/5-1.2)
| 7 | | Sec. 5-1.2. Recipient eligibility verification.
| 8 | | (a) The Illinois Department shall initiate a statewide | 9 | | system by which
providers and sites of medical care can | 10 | | electronically verify recipient
eligibility for aid under this | 11 | | Article.
High-volume providers and sites of medical care, as | 12 | | defined by the Illinois
Department by rule, shall be required | 13 | | to participate in the eligibility
verification system.
Every | 14 | | non-high-volume provider and site of medical
care shall be | 15 | | afforded the opportunity to participate in the eligibility
| 16 | | verification system.
The Illinois Department shall provide by | 17 | | rule for
implementation of the system, which may be | 18 | | accomplished in phases over time and
by geographic region, | 19 | | recipient classification, and provider type.
The system shall | 20 | | initially be implemented in, but not limited to, the
following | 21 | | zip codes in Cook County: 60601, 60602, 60603, 60604, 60605, | 22 | | 60606,
60607, 60608, 60609, 60612, and 60616. The system shall | 23 | | be implemented within
6
months after approval by the federal |
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| 1 | | government. The Illinois Department shall
report to the General | 2 | | Assembly by December 31, 1994 on the status of the
Illinois | 3 | | Department's application to the federal government for | 4 | | approval of
this system.
The recipient eligibility | 5 | | verification system may be coordinated with the
Electronic | 6 | | Benefits Transfer system established by Section 11-3.1 of this | 7 | | Code
and compatible with any of the methods for the delivery of | 8 | | medical care and
services authorized by this Article.
The | 9 | | system shall make available to providers the history of claims | 10 | | for
medical services submitted to the Illinois Department for | 11 | | those services
provided to the recipient. The Illinois | 12 | | Department shall develop safeguards to
protect each | 13 | | recipient's health information from misuse or unauthorized
| 14 | | disclosure.
| 15 | | (b) The Illinois Department shall conduct a demonstration | 16 | | project in at
least 2 geographic locations for the purpose of | 17 | | assessing the effectiveness of
a recipient photo | 18 | | identification card in reducing abuses in the provision of
| 19 | | services under this Article. In order to receive medical care, | 20 | | recipients
included in this demonstration project must present | 21 | | a Medicaid card and photo
identification card. The Illinois | 22 | | Department shall apply for any federal
waivers or approvals | 23 | | necessary to conduct this demonstration project. The
| 24 | | demonstration project shall become operational (i) 12 months | 25 | | after the
effective
date of this amendatory Act of 1994 or (ii) | 26 | | after the Illinois Department's
receipt
of all necessary |
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| 1 | | federal waivers and approvals, whichever occurs later, and
| 2 | | shall operate for 12 months.
| 3 | | (c) Effective October 1, 2007, all changes in status of | 4 | | Medicaid recipients
residing in Illinois nursing facilities | 5 | | after initial eligibility for
Medicaid has been established | 6 | | shall be reported to the Department, using an
Internet-based | 7 | | electronic data interchange system, by the nursing facilities,
| 8 | | except for those changes made by personnel of the Department. | 9 | | Changes reported
using the Internet-based electronic data | 10 | | interchange system shall be deemed
valid and shall be used as | 11 | | the basis for future Medicaid payments unless
Department | 12 | | approval of the transaction is required, or until such time as
| 13 | | any review or audit conducted by the State establishes that the
| 14 | | information is incorrect.
The Department shall report to the | 15 | | appropriation committees of both chambers hearing the agency's | 16 | | budget on the status of implementation, estimates of the cost | 17 | | of full implementation and recommendations for compliance no | 18 | | later than January 1, 2012. | 19 | | (Source: P.A. 95-458, eff. 8-27-07.)
| 20 | | Section 99. Effective date. This Act takes effect upon | 21 | | becoming law.
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