SB 1964

Abstract

Amends the Illinois Public Aid Code. Provides that for program and reimbursement changes effective between January 1 and May 31 of each year, any program or reimbursement change under the medical assistance program, including any program for dual eligible beneficiaries, become effective on January 1 of the year following the enactment of the changes. Provides that program and rate changes under the medical assistance program, including any program for dual eligible beneficiaries, with an effective date between June 1 and December 31 of each year become effective on June 1 of the year following the enactment of the changes. Provides that such requirements are subject to federal approval and any other requirements imposed by the federal Centers for Medicare and Medicaid Services. Senate Committee Amendment No. 1 Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Provides that effective January 1, 2024, for any program coverage benefit change or reimbursement methodology change enacted by the General Assembly or implemented through administrative rule by the Department of Healthcare and Family Services after the effective date of the amendatory Act, there shall be a 6-month implementation period resulting in an effective date which is not sooner than 6 months following the effective date of the new change by law or administrative rule, except that the change shall either have an effective date of January 1 or July 1, whichever occurs first after the end of the 6-month implementation period. Provides that the Department and all affected Medicaid managed care organizations shall publish the applicable effective date of implementation for any such benefit or reimbursement methodology change on their publicly accessible website no less than 120 days prior to the effective date of implementation. Provides that these requirements do not apply to scheduled periodic rate updates, updates required by federal regulation, or required updates published by the federal Centers for Medicare and Medicaid Services. Provides that scheduled and periodic rate updates shall be published on the Department's publicly accessible website no less than 30 days prior to the effective date of such rate updates.