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IL SB1273

Bill

Official Source

Status

Introduced

2/17/2015

Primary Sponsor

Antonio Munoz

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Origin

Senate

99th General Assembly

AI Summary

  • Requires Managed Care Organizations (MCOs) to use the Department of Healthcare and Family Services' established methodology for determining medical necessity of non-emergency ambulance transports as specified in Section 5-4.2 of the Illinois Public Aid Code.

  • Mandates MCOs establish an appeals process for denied ambulance transport claims using the same forms and approval criteria as specified in Section 5-4.2 of the Code.

  • Applies to MCO contracts entered into, renewed, or extended after June 1, 2013.

  • Takes effect July 1, 2015.

Legislative Description

DHFS-MANAGED CARE-AMBULANCE

Last Action

Pursuant to Senate Rule 3-9(b) / Referred to Assignments

10/10/2015

Committee Referrals

Assignments10/10/2015
Human Services2/25/2015
Assignments2/17/2015

Full Bill Text

No bill text available