IL HB0066

Prohibits the Department of Healthcare and Family Services from requiring medical assistance recipients to enroll in managed care programs on and after January 1, 2022.

Allows current managed care enrollees as of January 1, 2022 to disenroll and switch to fee-for-service coverage.

Bans the Department from entering new managed care contracts or capitated payment agreements after January 1, 2022, and prohibits renewal or modification of contracts from the 2018-24-001 managed care request for proposals.

Requires recipients enrolled in managed care plans from the 2018-24-001 RFP to transition to fee-for-service coverage when their MCO contracts expire.

Directs the Department to establish an appeals and grievance process by rule that includes expedited internal review, final adverse determination review, and external review options, with written notification of external review rights to recipients.