SB 3486

Abstract

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services to enter into one or more cooperative arrangements with safety-net providers to provide primary, secondary, or tertiary managed health care services as a managed care community network with a monthly total capitation amount not to exceed $100,000,000. Defines "safety-net provider" to mean a non-government owned managed care community network operating and located in Cook County with at least 80% ownership by one or more safety-net hospitals. Provides that a safety-net provider shall be deemed a managed care community network for purposes of the Code only to the extent that it provides services to participating individuals. Provides that a non-government owned safety-net provider is entitled to contract with the Department with respect to Cook County only. Provides that a safety-net provider is not required to accept enrollees who do not reside within Cook County.