HB4076 Summary

• Department of Innovation and Technology and Department of Healthcare and Family Services must select a Business Enterprise Program-certified vendor with at least 60% Illinois-resident owners to conduct medical assistance eligibility redeterminations for enrollees not covered by federal waivers.

• Selected vendor must operate a cloud-based redetermination system that automates contact with enrollees, pre-populates forms, allows multiple data entry methods (voice, text, web form), and includes reward incentives like gift cards for completion.

• Redetermination system must use automated contact processes with public and private databases to locate enrollees, maintain HIPAA compliance and ADA accessibility, and provide data to managed care organizations at predefined intervals.

• Vendors must submit letters of intent within 7 days, with grant awards issued within 2 weeks; selected vendor must have all subvendor contracts finalized within 5 business days of the bill's effective date.

• Bill includes severability clause stating that if any provision violates federal Centers for Medicare and Medicaid Services requirements, that provision is invalid but does not affect remaining provisions.