Illinois Compiled Statutes - Full Text

  1. Home
  2. Legislation
  3. Illinois Compiled Statutes

Illinois Compiled Statutes - Full Text

Illinois Compiled Statutes (ILCS)

Updating the database of the Illinois Compiled Statutes (ILCS) is an ongoing process. Recent laws may not yet be included in the ILCS database, but they are found on this site as Public Acts soon after they become law. For information concerning the relationship between statutes and Public Acts, refer to the Guide.

Because the statute database is maintained primarily for legislative drafting purposes, statutory changes are sometimes included in the statute database before they take effect. If the source note at the end of a Section of the statutes includes a Public Act that has not yet taken effect, the version of the law that is currently in effect may have already been removed from the database and you should refer to that Public Act to see the changes made to the current law.


305 ILCS 5/5H-3

    (305 ILCS 5/5H-3)
    Sec. 5H-3. Managed care assessment.
    (a) There is imposed upon managed care organization member months an assessment, calculated on base year data, as set forth below for the appropriate tier:
        (1) Tier 1: $78.90 per member month.
        (2) Tier 2: $1.40 per member month.
        (3) Tier 3: $2.40 per member month.
    (b) The tiers are established as follows:
        (1) Tier 1 includes the first 4,195,000 member months
    
in a Medicaid managed care organization for the base year;
        (2) Tier 2 includes member months over 4,195,000 in a
    
Medicaid managed care organization during the base year; and
        (3) Tier 3 includes member months during the base
    
year in a managed care organization that is not a Medicaid managed care organization.
    (c) For State fiscal year 2020, and for each State fiscal year thereafter, the Department may adjust rates or tier parameters or both in order to maximize the revenue generated by the assessment consistent with federal regulations and to meet federal statistical tests necessary for federal financial participation. Any upward adjustment to the Tier 3 rate shall be the minimum necessary to meet federal statistical tests.
(Source: P.A. 103-593, eff. 6-7-24.)