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IL HB0315
Bill
Status
1/10/2019
Primary Sponsor
Robyn Gabel
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AI Summary
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Requires the Department of Healthcare and Family Services to establish minimum quality standards for providers of medical supplies, equipment, and related services to Medicaid managed care organization (MCO) enrollees, based on national standards and Centers for Medicare and Medicaid Services guidelines
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Sets reimbursement rates for in-network medical supply and equipment providers at the Illinois Medicaid fee-for-service rate in effect as of June 30, 2017, until minimum quality standards are adopted
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After quality standards are adopted, MCOs must offer in-network providers of medical supplies and equipment at least 90% of the Medicaid fee-for-service reimbursement rate for services of similar quality
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Prohibits the Department and contracted MCOs from entering into sole source contracts for durable medical equipment, supplies, or related services to Medicaid beneficiaries and managed care enrollees
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Takes effect immediately upon becoming law
Legislative Description
DURABLE MEDICAL SUPPLIES-RATES
Last Action
Rule 19(a) / Re-referred to Rules Committee
3/29/2019