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IL HB2549
Bill
Status
1/7/2025
Primary Sponsor
Elizabeth Hernandez
Click for details
AI Summary
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Amends the Illinois Public Aid Code Section 5F-35 to change nursing home reimbursement methodology for managed care organizations from RUG-IV nursing component to fee-for-service facility-specific nursing component.
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Requires the Department of Healthcare and Family Services to provide managed care organizations with quarterly fee-for-service rates including nursing component per diem, add-ons for enhanced care services, support component per diem, and capital component per diem for each contracted nursing home.
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Prohibits managed care contracts from providing reimbursement rates lower than the fee-for-service rate in effect for the facility at the time services are rendered.
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Takes effect immediately upon becoming law.
Legislative Description
MEDICAID-MMAI-REIMBURSEMENT
Last Action
Session Sine Die
1/7/2025