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IL HB1909
Bill
Status
2/16/2021
Primary Sponsor
Deanne Mazzochi
Click for details
AI Summary
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Adds Section 5-30.15 to the Illinois Public Aid Code regarding Medicaid managed care organization provider restrictions.
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Prohibits managed care organizations from changing a Medicaid enrollee's selected primary care provider or up to 2 specialty care providers (for active treatment conditions) for the remainder of the 12-month enrollment period without the enrollee's written permission.
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Applies only when an enrollee originally selected a managed care plan based on the in-network status of existing providers.
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Permits the Department of Healthcare and Family Services to adopt rules necessary to administer the provision.
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Preserves an enrollee's right to voluntarily change primary care providers in accordance with Department rules.
Legislative Description
MEDICAID-MCO-PRIMARY CARE
Last Action
Rule 19(a) / Re-referred to Rules Committee
3/27/2021