SB3256 Summary

• Amends Illinois Public Aid Code Section 5-5 to establish procedures for ID/DD (Intellectual Disability/Developmental Disability) facilities to submit monthly billing claims for reimbursement within 365 days of the bill's effective date, with an additional 365-day testing period for system implementation.

• Authorizes the Department of Healthcare and Family Services to establish comprehensive medical assistance services including inpatient/outpatient hospital care, physician services, dental services, prescription drugs, and mental health and substance abuse screening and treatment.

• Requires Department to set forth request for information regarding pre-payment and post-adjudication claims processing systems to streamline provider reimbursement and reduce pending claims.

• Establishes vendor enrollment procedures including provisional one-year conditional periods, enhanced oversight screening, and risk-based category classifications for fraud and abuse prevention.

• Specifies 180-day claims filing deadline with exceptions for providers with pending enrollment, Department errors, and providers participating in monthly billing processes.