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IL SB2529
Bill
Status
1/13/2021
Primary Sponsor
Michael Hastings
Click for details
AI Summary
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Requires hospitals to submit separate professional claims for long-acting injectable medications for mental health or addiction with "place of service 21 – Inpatient Hospital" designation, effective July 1, 2020.
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Mandates hospitals bill as the provider with the treating practitioner listed as the rendering provider, using appropriate Healthcare Common Procedure Coding System Level II codes and National Drug Codes.
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Allows facilities participating in the federal 340B Drug Pricing Program to continue billing the 340B actual acquisition cost for medications.
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Eliminates prior authorization requirements for long-acting injectable medications for mental health or addiction when initiated in inpatient hospital settings or continued at outpatient treatment facilities under Medicaid and managed-care plans.
Legislative Description
MEDICAID-HOSPITAL PAYMENTS
Last Action
Session Sine Die
1/13/2021