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IL HB3285
Bill
Status
2/25/2015
Primary Sponsor
Sara Feigenholtz
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AI Summary
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Adds requirement that care coordination services for Medicare-Medicaid Alignment Initiative Demonstration Project enrollees protect all rights guaranteed under federal and state law, including the right to select one's own physician.
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Requires managed care organizations to change an enrollee's primary care provider within 24 hours of receiving a request and notify the enrollee in writing.
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Mandates that if an enrollee declares a medical emergency exists, the managed care organization shall make primary care provider changes immediately, notify all involved parties by phone, and follow up with written confirmation.
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Preserves existing continuity of care requirements for nursing home residents transitioning to managed care organizations, including honoring existing care plans until comprehensive assessments are completed.
Legislative Description
MEDICAID-MCO-ENROLLEE RIGHTS
Last Action
Rule 19(a) / Re-referred to Rules Committee
3/27/2015