IL HB2665

Reforms the rate-setting methodology for the Program of All-Inclusive Care for the Elderly (PACE) by establishing a blended rate structure of 30% Home and Community-Based Services and 70% Skilled Nursing Facility case-mix

Requires the Department of Healthcare and Family Services to consider the unique characteristics, specific care needs, and higher risk/acuity of PACE participants when developing rates

Mandates that rate development account for State plan services or populations not included in Medicaid managed care contracts but required under the PACE program

Eliminates previous provisions allowing the Department to develop capitation rates using standardized methodology across managed care plan models and to calculate upper payment limits

Applies to rates established on and after the effective date of the amendatory Act, replacing the previous July 1, 2022 implementation date