IL SB3485

Department of Healthcare and Family Services shall provide managed care organizations with quarterly fee-for-service facility-specific nursing component per diem rates for nursing homes under contract.

Removes the requirement that rates be based on RUG-IV nursing component classifications.

Managed care organizations must include add-ons for enhanced care services, support component per diem, and capital component per diem in their reimbursement calculations.

No managed care contract shall reimburse nursing homes at a rate lower than the fee-for-service rate in effect for that facility at the time services are rendered.

Act takes effect immediately upon becoming law.