State of Illinois
90^th General Assembly
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90_SB1420eng

      305 ILCS 5/5-5.4          from Ch. 23, par. 5-5.4
      305 ILCS 5/5-5.21
          Amends the "Medical Assistance" Article of the Public Aid
      Code.  With respect to standards of payment to long-term care
      providers, provides that after  June  30,  1998  the  payment
      rates  shall  include  an  update  for inflation and shall be
      based on the most  recent  cost  reports  on  file  with  the
      Department  no  later  than April 1 of the current rate year.
      With respect to the reimbursement methodology  for  long-term
      care  providers,  provides  that (i) beginning not later than
      July 1, 1999 the nursing component of the reimbursement  rate
      shall  be  calculated  according  to  a  Resource Utilization
      Grouping System (RUGS) model and  (ii)  beginning  not  later
      than   July   1,  2000  the  capital,  support,  and  nursing
      components of the  reimbursement  rate  shall  be  calculated
      according  to  a  methodology  that  is  entirely cost-based.
      Effective immediately.
                                                     LRB9009801DJcd
SB1420 Engrossed                               LRB9009801DJcd
 1        AN ACT to amend the Illinois Public Aid Code by  changing
 2    Section 5-5.21.
 3        Be  it  enacted  by  the People of the State of Illinois,
 4    represented in the General Assembly:
 5        Section 5.  The Illinois Public Aid Code  is  amended  by
 6    changing Section 5-5.21 as follows:
 7        (305 ILCS 5/5-5.21)
 8        Sec.  5-5.21.   Reimbursement  methodology.  The Illinois
 9    Department   shall   form   a    workgroup    comprised    of
10    representatives  of  the  Illinois  Department,  the Illinois
11    Department of Public Health, and  members  of  the  long-term
12    care   provider   community   to  implement  a  reimbursement
13    methodology  based  upon  the  federally  mandated   resident
14    assessment  instrument.   No  later than January 1, 1997, the
15    Illinois Department in conjunction with the work  group  will
16    recommend  to  the  Governor  a  methodology  for determining
17    payment rates for services in nursing facilities  based  upon
18    the  federally  mandated  resident  assessment instrument. No
19    later than June  30,  1997,  the  Illinois  Department  shall
20    implement  a  methodology  for  determining payment rates for
21    services   in   nursing   facilities   based   upon   federal
22    requirements.
23    (Source: P.A. 89-415, eff. 1-1-96.)

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