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IL SB1808
Bill
Status
1/13/2015
Primary Sponsor
William Delgado
Click for details
AI Summary
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Amends the Illinois Public Aid Code to establish a 9-month testing period before hospitals must receive actual payments under the All Patient Refined Diagnosis Related Groups (APR-DRG) system for inpatient services.
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Establishes a 9-month testing period before hospitals must receive actual payments under the Enhanced Ambulatory Procedure Grouping (EAPG) system for outpatient services beginning January 1, 2014.
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Requires the Department of Public Aid to collaborate with hospital representatives during testing periods to provide technical assistance and process test claims, reviewing estimated impacts on hospitals at least monthly.
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Directs the Department to consider specific issues when implementing new payment systems including relative weights, outlier payments, policy adjusters for high Medicaid hospitals, specialty service reimbursement, and transition funding pools.
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Becomes effective immediately upon becoming law.
Legislative Description
MEDICAID-APR-DRG PAYMNT SYSTM
Last Action
Session Sine Die
1/13/2015