IL HB1202

Requires the Department of Healthcare and Family Services to amend managed care contracts to expand healthcare access for youth in care of the Department of Children and Family Services under the YouthCare Program

Mandates that managed care organizations (MCOs) pay non-affiliated providers at Illinois Medicaid fee-for-service rates, including all policy adjusters such as Medicaid High Volume Adjustments and Outpatient High Volume Adjustments, for services provided to current and former youth in care

Exempts MCOs from the fee-for-service payment requirement for non-emergency services if the non-affiliated provider rejected a good-faith contract offer within the preceding 12 months

Allows MCOs to avoid the payment requirement if the health plan terminated a contract with the provider for cause, including repeated failure to conduct discharge planning, conduct adversely affecting patient health, fraud or abuse, or ethics violations

Takes effect immediately upon becoming law