SB 1807

  • Illinois Senate Bill
  • 101st Regular Session
  • Introduced in Senate
  • Senate
  • House
  • Governor

Medicaid-Managed Care Payments

Abstract

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to require managed care organizations (MCOs) to ensure: (1) that any provider under contract with an MCO on the date of service shall be paid for any medically necessary service rendered to any of the MCO's enrollees, regardless of inclusion on the MCO's published and publicly available roster of available providers; (2) that all contracted providers are listed on an updated roster within 7 days of entering into a contract with the MCO; and (3) that the roster under item (2) is readily accessible by all medical assistance enrollees for purposes of selecting an approved healthcare provider. Requires the Department to require MCOs to expedite payments to providers based on specified criteria (rather than providing that the Department may establish a process for MCOs to expedite payments to providers based on criteria established by the Department). Contains provisions concerning discharge notifications and facility placements and other matters. Effective immediately.

Bill Sponsors (4)

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Actions


May 31, 2019

Senate

Rule 3-9(a) / Re-referred to Assignments

May 23, 2019

Senate

Postponed - Executive

May 15, 2019

Senate

Re-assigned to Executive

Senate

Rule 2-10 Third Reading Deadline Established As May 31, 2019

Mar 28, 2019

Senate

Rule 3-9(a) / Re-referred to Assignments

Mar 25, 2019

Senate

Added as Co-Sponsor Sen. Elgie R. Sims, Jr.

Mar 22, 2019

Senate

Rule 2-10 Committee Deadline Established As March 28, 2019

Mar 01, 2019

Senate

Added as Chief Co-Sponsor Sen. Andy Manar

Feb 27, 2019

Senate

Assigned to Special Committee on Oversight of Medicaid Managed Care

Feb 22, 2019

Senate

Added as Chief Co-Sponsor Sen. Iris Y. Martinez

Feb 15, 2019

Senate

Filed with Secretary by Sen. Kimberly A. Lightford

Senate

Referred to Assignments

Senate

First Reading

Bill Text

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