HB3227 Summary

• Amends the Illinois Public Aid Code by adding Section 5-5.6c regarding reimbursement for specialized mental health rehabilitation facilities.

• Exempts facilities licensed under the Specialized Mental Health Rehabilitation Act of 2013 from managed care medical assistance program reimbursement methodologies.

• Requires covered services provided by these specialized mental health facilities to be reimbursed using the Illinois Medicaid fee-for-service methodology instead.

• Addresses concerns about high rates of claim denials by managed care organizations affecting the sustainability of these facilities and health outcomes for Medicaid-eligible residents.