Illinois 2023-2024 Regular Session

Illinois Senate Bill SB1962 Compare Versions

Only one version of the bill is available at this time.

Old	New	Differences
1	1	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1962 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-30.1 Amends the Illinois Public Aid. Makes a technical change in a Section concerning managed care protections. LRB103 30582 KTG 57019 b A BILL FOR 103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1962 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED: 305 ILCS 5/5-30.1 305 ILCS 5/5-30.1 Amends the Illinois Public Aid. Makes a technical change in a Section concerning managed care protections. LRB103 30582 KTG 57019 b LRB103 30582 KTG 57019 b A BILL FOR
2	2	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1962 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED:
3	3	305 ILCS 5/5-30.1 305 ILCS 5/5-30.1
4	4	305 ILCS 5/5-30.1
5	5	Amends the Illinois Public Aid. Makes a technical change in a Section concerning managed care protections.
6	6	LRB103 30582 KTG 57019 b LRB103 30582 KTG 57019 b
7	7	LRB103 30582 KTG 57019 b
8	8	A BILL FOR
9	9	SB1962LRB103 30582 KTG 57019 b SB1962 LRB103 30582 KTG 57019 b
10	10	SB1962 LRB103 30582 KTG 57019 b
11	11	1 AN ACT concerning public aid.
12	12	2 Be it enacted by the People of the State of Illinois,
13	13	3 represented in the General Assembly:
14	14	4 Section 5. The Illinois Public Aid Code is amended by
15	15	5 changing Section 5-30.1 as follows:
16	16	6 (305 ILCS 5/5-30.1)
17	17	7 Sec. 5-30.1. Managed care protections.
18	18	8 (a) As used in this Section:
19	19	9 "Managed care organization" or "MCO" means any entity
20	20	10 which contracts with the the Department to provide services
21	21	11 where payment for medical services is made on a capitated
22	22	12 basis.
23	23	13 "Emergency services" include:
24	24	14 (1) emergency services, as defined by Section 10 of
25	25	15 the Managed Care Reform and Patient Rights Act;
26	26	16 (2) emergency medical screening examinations, as
27	27	17 defined by Section 10 of the Managed Care Reform and
28	28	18 Patient Rights Act;
29	29	19 (3) post-stabilization medical services, as defined by
30	30	20 Section 10 of the Managed Care Reform and Patient Rights
31	31	21 Act; and
32	32	22 (4) emergency medical conditions, as defined by
33	33	23 Section 10 of the Managed Care Reform and Patient Rights
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37	37	103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 SB1962 Introduced 2/9/2023, by Sen. Ann Gillespie SYNOPSIS AS INTRODUCED:
38	38	305 ILCS 5/5-30.1 305 ILCS 5/5-30.1
39	39	305 ILCS 5/5-30.1
40	40	Amends the Illinois Public Aid. Makes a technical change in a Section concerning managed care protections.
41	41	LRB103 30582 KTG 57019 b LRB103 30582 KTG 57019 b
42	42	LRB103 30582 KTG 57019 b
43	43	A BILL FOR
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49	49	305 ILCS 5/5-30.1
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68	68	1 Act.
69	69	2 (b) As provided by Section 5-16.12, managed care
70	70	3 organizations are subject to the provisions of the Managed
71	71	4 Care Reform and Patient Rights Act.
72	72	5 (c) An MCO shall pay any provider of emergency services
73	73	6 that does not have in effect a contract with the contracted
74	74	7 Medicaid MCO. The default rate of reimbursement shall be the
75	75	8 rate paid under Illinois Medicaid fee-for-service program
76	76	9 methodology, including all policy adjusters, including but not
77	77	10 limited to Medicaid High Volume Adjustments, Medicaid
78	78	11 Percentage Adjustments, Outpatient High Volume Adjustments,
79	79	12 and all outlier add-on adjustments to the extent such
80	80	13 adjustments are incorporated in the development of the
81	81	14 applicable MCO capitated rates.
82	82	15 (d) An MCO shall pay for all post-stabilization services
83	83	16 as a covered service in any of the following situations:
84	84	17 (1) the MCO authorized such services;
85	85	18 (2) such services were administered to maintain the
86	86	19 enrollee's stabilized condition within one hour after a
87	87	20 request to the MCO for authorization of further
88	88	21 post-stabilization services;
89	89	22 (3) the MCO did not respond to a request to authorize
90	90	23 such services within one hour;
91	91	24 (4) the MCO could not be contacted; or
92	92	25 (5) the MCO and the treating provider, if the treating
93	93	26 provider is a non-affiliated provider, could not reach an
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104	104	1 agreement concerning the enrollee's care and an affiliated
105	105	2 provider was unavailable for a consultation, in which case
106	106	3 the MCO must pay for such services rendered by the
107	107	4 treating non-affiliated provider until an affiliated
108	108	5 provider was reached and either concurred with the
109	109	6 treating non-affiliated provider's plan of care or assumed
110	110	7 responsibility for the enrollee's care. Such payment shall
111	111	8 be made at the default rate of reimbursement paid under
112	112	9 Illinois Medicaid fee-for-service program methodology,
113	113	10 including all policy adjusters, including but not limited
114	114	11 to Medicaid High Volume Adjustments, Medicaid Percentage
115	115	12 Adjustments, Outpatient High Volume Adjustments and all
116	116	13 outlier add-on adjustments to the extent that such
117	117	14 adjustments are incorporated in the development of the
118	118	15 applicable MCO capitated rates.
119	119	16 (e) The following requirements apply to MCOs in
120	120	17 determining payment for all emergency services:
121	121	18 (1) MCOs shall not impose any requirements for prior
122	122	19 approval of emergency services.
123	123	20 (2) The MCO shall cover emergency services provided to
124	124	21 enrollees who are temporarily away from their residence
125	125	22 and outside the contracting area to the extent that the
126	126	23 enrollees would be entitled to the emergency services if
127	127	24 they still were within the contracting area.
128	128	25 (3) The MCO shall have no obligation to cover medical
129	129	26 services provided on an emergency basis that are not
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140	140	1 covered services under the contract.
141	141	2 (4) The MCO shall not condition coverage for emergency
142	142	3 services on the treating provider notifying the MCO of the
143	143	4 enrollee's screening and treatment within 10 days after
144	144	5 presentation for emergency services.
145	145	6 (5) The determination of the attending emergency
146	146	7 physician, or the provider actually treating the enrollee,
147	147	8 of whether an enrollee is sufficiently stabilized for
148	148	9 discharge or transfer to another facility, shall be
149	149	10 binding on the MCO. The MCO shall cover emergency services
150	150	11 for all enrollees whether the emergency services are
151	151	12 provided by an affiliated or non-affiliated provider.
152	152	13 (6) The MCO's financial responsibility for
153	153	14 post-stabilization care services it has not pre-approved
154	154	15 ends when:
155	155	16 (A) a plan physician with privileges at the
156	156	17 treating hospital assumes responsibility for the
157	157	18 enrollee's care;
158	158	19 (B) a plan physician assumes responsibility for
159	159	20 the enrollee's care through transfer;
160	160	21 (C) a contracting entity representative and the
161	161	22 treating physician reach an agreement concerning the
162	162	23 enrollee's care; or
163	163	24 (D) the enrollee is discharged.
164	164	25 (f) Network adequacy and transparency.
165	165	26 (1) The Department shall:
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176	176	1 (A) ensure that an adequate provider network is in
177	177	2 place, taking into consideration health professional
178	178	3 shortage areas and medically underserved areas;
179	179	4 (B) publicly release an explanation of its process
180	180	5 for analyzing network adequacy;
181	181	6 (C) periodically ensure that an MCO continues to
182	182	7 have an adequate network in place;
183	183	8 (D) require MCOs, including Medicaid Managed Care
184	184	9 Entities as defined in Section 5-30.2, to meet
185	185	10 provider directory requirements under Section 5-30.3;
186	186	11 (E) require MCOs to ensure that any
187	187	12 Medicaid-certified provider under contract with an MCO
188	188	13 and previously submitted on a roster on the date of
189	189	14 service is paid for any medically necessary,
190	190	15 Medicaid-covered, and authorized service rendered to
191	191	16 any of the MCO's enrollees, regardless of inclusion on
192	192	17 the MCO's published and publicly available directory
193	193	18 of available providers; and
194	194	19 (F) require MCOs, including Medicaid Managed Care
195	195	20 Entities as defined in Section 5-30.2, to meet each of
196	196	21 the requirements under subsection (d-5) of Section 10
197	197	22 of the Network Adequacy and Transparency Act; with
198	198	23 necessary exceptions to the MCO's network to ensure
199	199	24 that admission and treatment with a provider or at a
200	200	25 treatment facility in accordance with the network
201	201	26 adequacy standards in paragraph (3) of subsection
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212	212	1 (d-5) of Section 10 of the Network Adequacy and
213	213	2 Transparency Act is limited to providers or facilities
214	214	3 that are Medicaid certified.
215	215	4 (2) Each MCO shall confirm its receipt of information
216	216	5 submitted specific to physician or dentist additions or
217	217	6 physician or dentist deletions from the MCO's provider
218	218	7 network within 3 days after receiving all required
219	219	8 information from contracted physicians or dentists, and
220	220	9 electronic physician and dental directories must be
221	221	10 updated consistent with current rules as published by the
222	222	11 Centers for Medicare and Medicaid Services or its
223	223	12 successor agency.
224	224	13 (g) Timely payment of claims.
225	225	14 (1) The MCO shall pay a claim within 30 days of
226	226	15 receiving a claim that contains all the essential
227	227	16 information needed to adjudicate the claim.
228	228	17 (2) The MCO shall notify the billing party of its
229	229	18 inability to adjudicate a claim within 30 days of
230	230	19 receiving that claim.
231	231	20 (3) The MCO shall pay a penalty that is at least equal
232	232	21 to the timely payment interest penalty imposed under
233	233	22 Section 368a of the Illinois Insurance Code for any claims
234	234	23 not timely paid.
235	235	24 (A) When an MCO is required to pay a timely payment
236	236	25 interest penalty to a provider, the MCO must calculate
237	237	26 and pay the timely payment interest penalty that is
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248	248	1 due to the provider within 30 days after the payment of
249	249	2 the claim. In no event shall a provider be required to
250	250	3 request or apply for payment of any owed timely
251	251	4 payment interest penalties.
252	252	5 (B) Such payments shall be reported separately
253	253	6 from the claim payment for services rendered to the
254	254	7 MCO's enrollee and clearly identified as interest
255	255	8 payments.
256	256	9 (4)(A) The Department shall require MCOs to expedite
257	257	10 payments to providers identified on the Department's
258	258	11 expedited provider list, determined in accordance with 89
259	259	12 Ill. Adm. Code 140.71(b), on a schedule at least as
260	260	13 frequently as the providers are paid under the
261	261	14 Department's fee-for-service expedited provider schedule.
262	262	15 (B) Compliance with the expedited provider requirement
263	263	16 may be satisfied by an MCO through the use of a Periodic
264	264	17 Interim Payment (PIP) program that has been mutually
265	265	18 agreed to and documented between the MCO and the provider,
266	266	19 if the PIP program ensures that any expedited provider
267	267	20 receives regular and periodic payments based on prior
268	268	21 period payment experience from that MCO. Total payments
269	269	22 under the PIP program may be reconciled against future PIP
270	270	23 payments on a schedule mutually agreed to between the MCO
271	271	24 and the provider.
272	272	25 (C) The Department shall share at least monthly its
273	273	26 expedited provider list and the frequency with which it
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284	284	1 pays providers on the expedited list.
285	285	2 (g-5) Recognizing that the rapid transformation of the
286	286	3 Illinois Medicaid program may have unintended operational
287	287	4 challenges for both payers and providers:
288	288	5 (1) in no instance shall a medically necessary covered
289	289	6 service rendered in good faith, based upon eligibility
290	290	7 information documented by the provider, be denied coverage
291	291	8 or diminished in payment amount if the eligibility or
292	292	9 coverage information available at the time the service was
293	293	10 rendered is later found to be inaccurate in the assignment
294	294	11 of coverage responsibility between MCOs or the
295	295	12 fee-for-service system, except for instances when an
296	296	13 individual is deemed to have not been eligible for
297	297	14 coverage under the Illinois Medicaid program; and
298	298	15 (2) the Department shall, by December 31, 2016, adopt
299	299	16 rules establishing policies that shall be included in the
300	300	17 Medicaid managed care policy and procedures manual
301	301	18 addressing payment resolutions in situations in which a
302	302	19 provider renders services based upon information obtained
303	303	20 after verifying a patient's eligibility and coverage plan
304	304	21 through either the Department's current enrollment system
305	305	22 or a system operated by the coverage plan identified by
306	306	23 the patient presenting for services:
307	307	24 (A) such medically necessary covered services
308	308	25 shall be considered rendered in good faith;
309	309	26 (B) such policies and procedures shall be
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320	320	1 developed in consultation with industry
321	321	2 representatives of the Medicaid managed care health
322	322	3 plans and representatives of provider associations
323	323	4 representing the majority of providers within the
324	324	5 identified provider industry; and
325	325	6 (C) such rules shall be published for a review and
326	326	7 comment period of no less than 30 days on the
327	327	8 Department's website with final rules remaining
328	328	9 available on the Department's website.
329	329	10 The rules on payment resolutions shall include, but
330	330	11 not be limited to:
331	331	12 (A) the extension of the timely filing period;
332	332	13 (B) retroactive prior authorizations; and
333	333	14 (C) guaranteed minimum payment rate of no less
334	334	15 than the current, as of the date of service,
335	335	16 fee-for-service rate, plus all applicable add-ons,
336	336	17 when the resulting service relationship is out of
337	337	18 network.
338	338	19 The rules shall be applicable for both MCO coverage
339	339	20 and fee-for-service coverage.
340	340	21 If the fee-for-service system is ultimately determined to
341	341	22 have been responsible for coverage on the date of service, the
342	342	23 Department shall provide for an extended period for claims
343	343	24 submission outside the standard timely filing requirements.
344	344	25 (g-6) MCO Performance Metrics Report.
345	345	26 (1) The Department shall publish, on at least a
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356	356	1 quarterly basis, each MCO's operational performance,
357	357	2 including, but not limited to, the following categories of
358	358	3 metrics:
359	359	4 (A) claims payment, including timeliness and
360	360	5 accuracy;
361	361	6 (B) prior authorizations;
362	362	7 (C) grievance and appeals;
363	363	8 (D) utilization statistics;
364	364	9 (E) provider disputes;
365	365	10 (F) provider credentialing; and
366	366	11 (G) member and provider customer service.
367	367	12 (2) The Department shall ensure that the metrics
368	368	13 report is accessible to providers online by January 1,
369	369	14 2017.
370	370	15 (3) The metrics shall be developed in consultation
371	371	16 with industry representatives of the Medicaid managed care
372	372	17 health plans and representatives of associations
373	373	18 representing the majority of providers within the
374	374	19 identified industry.
375	375	20 (4) Metrics shall be defined and incorporated into the
376	376	21 applicable Managed Care Policy Manual issued by the
377	377	22 Department.
378	378	23 (g-7) MCO claims processing and performance analysis. In
379	379	24 order to monitor MCO payments to hospital providers, pursuant
380	380	25 to Public Act 100-580, the Department shall post an analysis
381	381	26 of MCO claims processing and payment performance on its
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392	392	1 website every 6 months. Such analysis shall include a review
393	393	2 and evaluation of a representative sample of hospital claims
394	394	3 that are rejected and denied for clean and unclean claims and
395	395	4 the top 5 reasons for such actions and timeliness of claims
396	396	5 adjudication, which identifies the percentage of claims
397	397	6 adjudicated within 30, 60, 90, and over 90 days, and the dollar
398	398	7 amounts associated with those claims.
399	399	8 (g-8) Dispute resolution process. The Department shall
400	400	9 maintain a provider complaint portal through which a provider
401	401	10 can submit to the Department unresolved disputes with an MCO.
402	402	11 An unresolved dispute means an MCO's decision that denies in
403	403	12 whole or in part a claim for reimbursement to a provider for
404	404	13 health care services rendered by the provider to an enrollee
405	405	14 of the MCO with which the provider disagrees. Disputes shall
406	406	15 not be submitted to the portal until the provider has availed
407	407	16 itself of the MCO's internal dispute resolution process.
408	408	17 Disputes that are submitted to the MCO internal dispute
409	409	18 resolution process may be submitted to the Department of
410	410	19 Healthcare and Family Services' complaint portal no sooner
411	411	20 than 30 days after submitting to the MCO's internal process
412	412	21 and not later than 30 days after the unsatisfactory resolution
413	413	22 of the internal MCO process or 60 days after submitting the
414	414	23 dispute to the MCO internal process. Multiple claim disputes
415	415	24 involving the same MCO may be submitted in one complaint,
416	416	25 regardless of whether the claims are for different enrollees,
417	417	26 when the specific reason for non-payment of the claims
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428	428	1 involves a common question of fact or policy. Within 10
429	429	2 business days of receipt of a complaint, the Department shall
430	430	3 present such disputes to the appropriate MCO, which shall then
431	431	4 have 30 days to issue its written proposal to resolve the
432	432	5 dispute. The Department may grant one 30-day extension of this
433	433	6 time frame to one of the parties to resolve the dispute. If the
434	434	7 dispute remains unresolved at the end of this time frame or the
435	435	8 provider is not satisfied with the MCO's written proposal to
436	436	9 resolve the dispute, the provider may, within 30 days, request
437	437	10 the Department to review the dispute and make a final
438	438	11 determination. Within 30 days of the request for Department
439	439	12 review of the dispute, both the provider and the MCO shall
440	440	13 present all relevant information to the Department for
441	441	14 resolution and make individuals with knowledge of the issues
442	442	15 available to the Department for further inquiry if needed.
443	443	16 Within 30 days of receiving the relevant information on the
444	444	17 dispute, or the lapse of the period for submitting such
445	445	18 information, the Department shall issue a written decision on
446	446	19 the dispute based on contractual terms between the provider
447	447	20 and the MCO, contractual terms between the MCO and the
448	448	21 Department of Healthcare and Family Services and applicable
449	449	22 Medicaid policy. The decision of the Department shall be
450	450	23 final. By January 1, 2020, the Department shall establish by
451	451	24 rule further details of this dispute resolution process.
452	452	25 Disputes between MCOs and providers presented to the
453	453	26 Department for resolution are not contested cases, as defined
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464	464	1 in Section 1-30 of the Illinois Administrative Procedure Act,
465	465	2 conferring any right to an administrative hearing.
466	466	3 (g-9)(1) The Department shall publish annually on its
467	467	4 website a report on the calculation of each managed care
468	468	5 organization's medical loss ratio showing the following:
469	469	6 (A) Premium revenue, with appropriate adjustments.
470	470	7 (B) Benefit expense, setting forth the aggregate
471	471	8 amount spent for the following:
472	472	9 (i) Direct paid claims.
473	473	10 (ii) Subcapitation payments.
474	474	11 (iii) Other claim payments.
475	475	12 (iv) Direct reserves.
476	476	13 (v) Gross recoveries.
477	477	14 (vi) Expenses for activities that improve health
478	478	15 care quality as allowed by the Department.
479	479	16 (2) The medical loss ratio shall be calculated consistent
480	480	17 with federal law and regulation following a claims runout
481	481	18 period determined by the Department.
482	482	19 (g-10)(1) "Liability effective date" means the date on
483	483	20 which an MCO becomes responsible for payment for medically
484	484	21 necessary and covered services rendered by a provider to one
485	485	22 of its enrollees in accordance with the contract terms between
486	486	23 the MCO and the provider. The liability effective date shall
487	487	24 be the later of:
488	488	25 (A) The execution date of a network participation
489	489	26 contract agreement.
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500	500	1 (B) The date the provider or its representative
501	501	2 submits to the MCO the complete and accurate standardized
502	502	3 roster form for the provider in the format approved by the
503	503	4 Department.
504	504	5 (C) The provider effective date contained within the
505	505	6 Department's provider enrollment subsystem within the
506	506	7 Illinois Medicaid Program Advanced Cloud Technology
507	507	8 (IMPACT) System.
508	508	9 (2) The standardized roster form may be submitted to the
509	509	10 MCO at the same time that the provider submits an enrollment
510	510	11 application to the Department through IMPACT.
511	511	12 (3) By October 1, 2019, the Department shall require all
512	512	13 MCOs to update their provider directory with information for
513	513	14 new practitioners of existing contracted providers within 30
514	514	15 days of receipt of a complete and accurate standardized roster
515	515	16 template in the format approved by the Department provided
516	516	17 that the provider is effective in the Department's provider
517	517	18 enrollment subsystem within the IMPACT system. Such provider
518	518	19 directory shall be readily accessible for purposes of
519	519	20 selecting an approved health care provider and comply with all
520	520	21 other federal and State requirements.
521	521	22 (g-11) The Department shall work with relevant
522	522	23 stakeholders on the development of operational guidelines to
523	523	24 enhance and improve operational performance of Illinois'
524	524	25 Medicaid managed care program, including, but not limited to,
525	525	26 improving provider billing practices, reducing claim
526	526
527	527
528	528
529	529
530	530
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532	532
533	533
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536	536	1 rejections and inappropriate payment denials, and
537	537	2 standardizing processes, procedures, definitions, and response
538	538	3 timelines, with the goal of reducing provider and MCO
539	539	4 administrative burdens and conflict. The Department shall
540	540	5 include a report on the progress of these program improvements
541	541	6 and other topics in its Fiscal Year 2020 annual report to the
542	542	7 General Assembly.
543	543	8 (g-12) Notwithstanding any other provision of law, if the
544	544	9 Department or an MCO requires submission of a claim for
545	545	10 payment in a non-electronic format, a provider shall always be
546	546	11 afforded a period of no less than 90 business days, as a
547	547	12 correction period, following any notification of rejection by
548	548	13 either the Department or the MCO to correct errors or
549	549	14 omissions in the original submission.
550	550	15 Under no circumstances, either by an MCO or under the
551	551	16 State's fee-for-service system, shall a provider be denied
552	552	17 payment for failure to comply with any timely submission
553	553	18 requirements under this Code or under any existing contract,
554	554	19 unless the non-electronic format claim submission occurs after
555	555	20 the initial 180 days following the latest date of service on
556	556	21 the claim, or after the 90 business days correction period
557	557	22 following notification to the provider of rejection or denial
558	558	23 of payment.
559	559	24 (h) The Department shall not expand mandatory MCO
560	560	25 enrollment into new counties beyond those counties already
561	561	26 designated by the Department as of June 1, 2014 for the
562	562
563	563
564	564
565	565
566	566
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568	568
569	569
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572	572	1 individuals whose eligibility for medical assistance is not
573	573	2 the seniors or people with disabilities population until the
574	574	3 Department provides an opportunity for accountable care
575	575	4 entities and MCOs to participate in such newly designated
576	576	5 counties.
577	577	6 (i) The requirements of this Section apply to contracts
578	578	7 with accountable care entities and MCOs entered into, amended,
579	579	8 or renewed after June 16, 2014 (the effective date of Public
580	580	9 Act 98-651).
581	581	10 (j) Health care information released to managed care
582	582	11 organizations. A health care provider shall release to a
583	583	12 Medicaid managed care organization, upon request, and subject
584	584	13 to the Health Insurance Portability and Accountability Act of
585	585	14 1996 and any other law applicable to the release of health
586	586	15 information, the health care information of the MCO's
587	587	16 enrollee, if the enrollee has completed and signed a general
588	588	17 release form that grants to the health care provider
589	589	18 permission to release the recipient's health care information
590	590	19 to the recipient's insurance carrier.
591	591	20 (k) The Department of Healthcare and Family Services,
592	592	21 managed care organizations, a statewide organization
593	593	22 representing hospitals, and a statewide organization
594	594	23 representing safety-net hospitals shall explore ways to
595	595	24 support billing departments in safety-net hospitals.
596	596	25 (l) The requirements of this Section added by Public Act
597	597	26 102-4 shall apply to services provided on or after the first
598	598
599	599
600	600
601	601
602	602
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604	604
605	605
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608	608	1 day of the month that begins 60 days after April 27, 2021 (the
609	609	2 effective date of Public Act 102-4).
610	610	3 (Source: P.A. 101-209, eff. 8-5-19; 102-4, eff. 4-27-21;
611	611	4 102-43, eff. 7-6-21; 102-144, eff. 1-1-22; 102-454, eff.
612	612	5 8-20-21; 102-813, eff. 5-13-22.)
613	613
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615	615
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