IL SB1253

Requires at least 50% of eligible recipients in Illinois medical assistance programs to be enrolled in care coordination programs by January 1, 2015.

Defines coordinated care as integrated delivery systems where providers contract to deliver primary care, referrals, diagnostics, behavioral health, hospital services, dental services, and long-term care.

Mandates care coordination systems provide enrollee choice of systems and primary care providers, deliver culturally and linguistically appropriate care, and meet diverse needs of recipients with developmental, mental health, physical, and age-related disabilities.

Establishes payment through performance-based arrangements on a capitated or risk-based basis, with providers assuming financial risk and implementing evidence-based practices, medical homes, and electronic health records.

Requires the Department to report to the General Assembly annually from April 2012 through April 2016 on care coordination program implementation, including analysis of federal payment limitations and necessary rate adjustments.