|
|
Public Act 095-0501
|
| SB1350 Enrolled |
LRB095 10902 DRJ 31188 b |
|
|
AN ACT concerning public aid.
|
Be it enacted by the People of the State of Illinois,
|
represented in the General Assembly:
|
Section 5. The Illinois Public Aid Code is amended by |
changing Section 5-4.2 as follows:
|
(305 ILCS 5/5-4.2) (from Ch. 23, par. 5-4.2)
|
Sec. 5-4.2. Ambulance services payments. For
ambulance
|
services provided to a recipient of aid under this Article on |
or after
January 1, 1993, the Illinois Department shall |
reimburse ambulance service
providers at rates calculated in |
accordance with this Section. It is the intent
of the General |
Assembly to provide adequate reimbursement for ambulance
|
services so as to ensure adequate access to services for |
recipients of aid
under this Article and to provide appropriate |
incentives to ambulance service
providers to provide services |
in an efficient and cost-effective manner. Thus,
it is the |
intent of the General Assembly that the Illinois Department |
implement
a reimbursement system for ambulance services that, |
to the extent practicable
and subject to the availability of |
funds appropriated by the General Assembly
for this purpose, is |
consistent with the payment principles of Medicare. To
ensure |
uniformity between the payment principles of Medicare and |
Medicaid, the
Illinois Department shall follow, to the extent |
|
necessary and practicable and
subject to the availability of |
funds appropriated by the General Assembly for
this purpose, |
the statutes, laws, regulations, policies, procedures,
|
principles, definitions, guidelines, and manuals used to |
determine the amounts
paid to ambulance service providers under |
Title XVIII of the Social Security
Act (Medicare).
|
For ambulance services provided to a recipient of aid under |
this Article
on or after January 1, 1996, the Illinois |
Department shall reimburse ambulance
service providers based |
upon the actual distance traveled if a natural
disaster, |
weather conditions, road repairs, or traffic congestion |
necessitates
the use of a
route other than the most direct |
route.
|
For purposes of this Section, "ambulance services" |
includes medical
transportation services provided by means of |
an ambulance, medi-car, service
car, or
taxi.
|
This Section does not prohibit separate billing by |
ambulance service
providers for oxygen furnished while |
providing advanced life support
services.
|
Beginning with services rendered on or after July 1, 2008, |
all providers of non-emergency medi-car and service car |
transportation must certify that the driver and employee |
attendant, as applicable, have completed a safety program |
approved by the Department to protect both the patient and the |
driver, prior to transporting a patient.
The provider must |
maintain this certification in its records. The provider shall |
|
produce such documentation upon demand by the Department or its |
representative. Failure to produce documentation of such |
training shall result in recovery of any payments made by the |
Department for services rendered by a non-certified driver or |
employee attendant. Medi-car and service car providers must |
maintain legible documentation in their records of the driver |
and, as applicable, employee attendant that actually |
transported the patient. Providers must recertify all drivers |
and employee attendants every 3 years.
|
Notwithstanding the requirements above, any public |
transportation provider of medi-car and service car |
transportation that receives federal funding under 49 U.S.C. |
5307 and 5311 need not certify its drivers and employee |
attendants under this Section, since safety training is already |
federally mandated.
|
(Source: P.A. 88-104; 89-43, eff. 1-1-96.)
|
Section 99. Effective date. This Act takes effect upon |
becoming law.
|