SB1964 EngrossedLRB103 27539 KTG 53914 b SB1964 Engrossed LRB103 27539 KTG 53914 b
SB1964 Engrossed LRB103 27539 KTG 53914 b
1 AN ACT concerning public aid.
2 Be it enacted by the People of the State of Illinois,
3 represented in the General Assembly:
4 Section 5. The Illinois Public Aid Code is amended by
5 adding Sections 1-13 as follows:
6 (305 ILCS 5/1-13 new)
7 Sec. 1-13. Program and reimbursement changes under the
8 medical assistance program.
9 (a) It is the purpose of this Section to improve planning
10 and consistency for implementation of program and
11 reimbursement changes under the medical assistance program. It
12 is critical that there is an adequate planning timeline in
13 order to structure changes in a way that meets the needs of
14 program enrollees and allow proper time to educate and consult
15 with impacted providers. Streamlining the dates upon which
16 program and reimbursement changes take effect promotes
17 strategic planning by the State to ensure all programs and
18 policies are aligned to meet the goals of the medical
19 assistance program. In addition, allowing time to
20 operationalize changes and collaborate with providers
21 significantly reduces provider confusion and abrasion.
22 (b) Effective January 1, 2024, for any program coverage
23 benefit change or reimbursement methodology change enacted by
SB1964 Engrossed LRB103 27539 KTG 53914 b
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1 the General Assembly or implemented through administrative
2 rule by the Department after the effective date of this
3 amendatory Act of the 103rd General Assembly, there shall be a
4 6-month implementation period resulting in an effective date
5 which is not sooner than 6 months following the effective date
6 of the new change by law or administrative rule, except that
7 the change shall either have an effective date of January 1 or
8 July 1, whichever occurs first after the end of the 6-month
9 implementation period. The Department and all affected
10 Medicaid managed care organizations shall publish the
11 applicable effective date of implementation for any such
12 benefit or reimbursement methodology change on their publicly
13 accessible website no less than 120 days prior to the
14 effective date of implementation. The requirements of this
15 Section do not apply to scheduled periodic rate updates,
16 updates required by federal regulation, or required updates
17 published by the federal Centers for Medicare and Medicaid
18 Services. Scheduled and periodic rate updates shall be
19 published on the Department's publicly accessible website no
20 less than 30 days prior to the effective date of such rate
21 updates.
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