Bill Amendment: IL HB1409 | 2021-2022 | 102nd General Assembly
NOTE: For additional amemendments please see the Bill Drafting List
Bill Title: PUBLIC AID-TECH
Status: 2022-04-07 - Referred to Assignments [HB1409 Detail]
Download: Illinois-2021-HB1409-House_Amendment_002.html
Bill Title: PUBLIC AID-TECH
Status: 2022-04-07 - Referred to Assignments [HB1409 Detail]
Download: Illinois-2021-HB1409-House_Amendment_002.html
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1 | AMENDMENT TO HOUSE BILL 1409
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2 | AMENDMENT NO. ______. Amend House Bill 1409 by replacing | ||||||
3 | everything after the enacting clause with the following:
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4 | "Section 5. The Emergency Medical Services (EMS) Systems | ||||||
5 | Act is amended by changing Section 3.10 as follows:
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6 | (210 ILCS 50/3.10)
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7 | Sec. 3.10. Scope of services.
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8 | (a) "Advanced Life Support (ALS) Services" means
an | ||||||
9 | advanced level of pre-hospital and inter-hospital emergency
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10 | care and non-emergency medical services that includes basic | ||||||
11 | life
support care, cardiac monitoring, cardiac defibrillation,
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12 | electrocardiography, intravenous therapy, administration of
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13 | medications, drugs and solutions, use of adjunctive medical
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14 | devices, trauma care, and other authorized techniques and
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15 | procedures, as outlined in the provisions of the National EMS | ||||||
16 | Education Standards relating to Advanced Life Support and any |
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1 | modifications to that curriculum
specified in rules adopted by | ||||||
2 | the Department pursuant to
this Act.
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3 | That care shall be initiated as authorized by the EMS
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4 | Medical Director in a Department approved advanced life
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5 | support EMS System, under the written or verbal direction of
a | ||||||
6 | physician licensed to practice medicine in all of its
branches | ||||||
7 | or under the verbal direction of an Emergency
Communications | ||||||
8 | Registered Nurse.
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9 | (b) "Intermediate Life Support (ILS) Services"
means an | ||||||
10 | intermediate level of pre-hospital and inter-hospital
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11 | emergency care and non-emergency medical services that | ||||||
12 | includes
basic life support care plus intravenous cannulation | ||||||
13 | and
fluid therapy, invasive airway management, trauma care, | ||||||
14 | and
other authorized techniques and procedures, as outlined in
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15 | the Intermediate Life Support national curriculum of the
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16 | United States Department of Transportation and any
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17 | modifications to that curriculum specified in rules adopted
by | ||||||
18 | the Department pursuant to this Act.
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19 | That care shall be initiated as authorized by the EMS
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20 | Medical Director in a Department approved intermediate or
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21 | advanced life support EMS System, under the written or
verbal | ||||||
22 | direction of a physician licensed to practice
medicine in all | ||||||
23 | of its branches or under the verbal
direction of an Emergency | ||||||
24 | Communications Registered Nurse.
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25 | (c) "Basic Life Support (BLS) Services" means a
basic | ||||||
26 | level of pre-hospital and inter-hospital emergency care and
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1 | non-emergency medical services that includes medical | ||||||
2 | monitoring, clinical observation, airway management,
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3 | cardiopulmonary resuscitation (CPR), control of shock and
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4 | bleeding and splinting of fractures, as outlined in the | ||||||
5 | provisions of the National EMS Education Standards relating to | ||||||
6 | Basic Life Support and any modifications to that
curriculum | ||||||
7 | specified in rules adopted by the Department
pursuant to this | ||||||
8 | Act.
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9 | That care shall be initiated, where authorized by the
EMS | ||||||
10 | Medical Director in a Department approved EMS System,
under | ||||||
11 | the written or verbal direction of a physician
licensed to | ||||||
12 | practice medicine in all of its branches or
under the verbal | ||||||
13 | direction of an Emergency Communications
Registered Nurse.
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14 | (d) "Emergency Medical Responder Services" means a | ||||||
15 | preliminary
level of pre-hospital emergency care that includes
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16 | cardiopulmonary resuscitation (CPR), monitoring vital signs
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17 | and control of bleeding, as outlined in the Emergency Medical | ||||||
18 | Responder (EMR) curriculum of the National EMS Education | ||||||
19 | Standards
and any modifications to that curriculum specified | ||||||
20 | in rules
adopted by the Department pursuant to this Act.
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21 | (e) "Pre-hospital care" means those
medical services | ||||||
22 | rendered to patients for analytic,
resuscitative, stabilizing, | ||||||
23 | or preventive purposes,
precedent to and during transportation | ||||||
24 | of such patients to
health care facilities.
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25 | (f) "Inter-hospital care" means those
medical services | ||||||
26 | rendered to patients for
analytic, resuscitative, stabilizing, |
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1 | or preventive
purposes, during transportation of such patients | ||||||
2 | from one
hospital to another hospital.
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3 | (f-5) "Critical care transport" means the pre-hospital or | ||||||
4 | inter-hospital transportation of a critically injured or ill | ||||||
5 | patient by a vehicle service provider, including the provision | ||||||
6 | of medically necessary supplies and services, at a level of | ||||||
7 | service beyond the scope of the Paramedic. When medically | ||||||
8 | indicated for a patient, as determined by a physician licensed | ||||||
9 | to practice medicine in all of its branches, an advanced | ||||||
10 | practice registered nurse, or a physician physician's | ||||||
11 | assistant, in compliance with subsections (b) and (c) of | ||||||
12 | Section 3.155 of this Act, critical care transport may be | ||||||
13 | provided by: | ||||||
14 | (1) Department-approved critical care transport | ||||||
15 | providers, not owned or operated by a hospital, utilizing | ||||||
16 | Paramedics with additional training, nurses, or other | ||||||
17 | qualified health professionals; or | ||||||
18 | (2) Hospitals, when utilizing any vehicle service | ||||||
19 | provider or any hospital-owned or operated vehicle service | ||||||
20 | provider. Nothing in Public Act 96-1469 requires a | ||||||
21 | hospital to use, or to be, a Department-approved critical | ||||||
22 | care transport provider when transporting patients, | ||||||
23 | including those critically injured or ill. Nothing in this | ||||||
24 | Act shall restrict or prohibit a hospital from providing, | ||||||
25 | or arranging for, the medically appropriate transport of | ||||||
26 | any patient, as determined by a physician licensed to |
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1 | practice in all of its branches, an advanced practice | ||||||
2 | registered nurse, or a physician physician's assistant. | ||||||
3 | (g) "Non-emergency medical services" means the provision | ||||||
4 | of, and all actions necessary before and after the provision | ||||||
5 | of, Basic Life Support (BLS) Services, Advanced Life Support | ||||||
6 | (ALS) Services, and critical care transport to
patients whose | ||||||
7 | conditions do not meet this Act's definition of emergency, | ||||||
8 | before, after, or
during transportation of such patients to or | ||||||
9 | from health care facilities visited for the
purpose of | ||||||
10 | obtaining medical or health care services which are not | ||||||
11 | emergency in
nature, using a vehicle regulated by this Act and | ||||||
12 | personnel licensed under this Act.
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13 | (g-5) The Department shall have the authority to | ||||||
14 | promulgate minimum standards for critical care transport | ||||||
15 | providers through rules adopted pursuant to this Act. All | ||||||
16 | critical care transport providers must function within a | ||||||
17 | Department-approved EMS System. Nothing in Department rules | ||||||
18 | shall restrict a hospital's ability to furnish personnel, | ||||||
19 | equipment, and medical supplies to any vehicle service | ||||||
20 | provider, including a critical care transport provider. | ||||||
21 | Minimum critical care transport provider standards shall | ||||||
22 | include, but are not limited to: | ||||||
23 | (1) Personnel staffing and licensure. | ||||||
24 | (2) Education, certification, and experience. | ||||||
25 | (3) Medical equipment and supplies. | ||||||
26 | (4) Vehicular standards. |
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1 | (5) Treatment and transport protocols. | ||||||
2 | (6) Quality assurance and data collection. | ||||||
3 | (h)
The provisions of this Act shall not apply to
the use | ||||||
4 | of an ambulance or SEMSV, unless and until
emergency or | ||||||
5 | non-emergency medical services are needed
during the use of | ||||||
6 | the ambulance or SEMSV.
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7 | (Source: P.A. 102-623, eff. 8-27-21; revised 12-1-21.)
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8 | Section 10. The Illinois Public Aid Code is amended by | ||||||
9 | changing Section 5-4.2 and by adding Section 5-30c as follows:
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10 | (305 ILCS 5/5-4.2)
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11 | Sec. 5-4.2. Ambulance services payments. | ||||||
12 | (a) For
ambulance
services provided to a recipient of aid | ||||||
13 | under this Article on or after
January 1, 1993, the Illinois | ||||||
14 | Department shall reimburse ambulance service
providers at | ||||||
15 | rates calculated in accordance with this Section. It is the | ||||||
16 | intent
of the General Assembly to provide adequate | ||||||
17 | reimbursement for ambulance
services so as to ensure adequate | ||||||
18 | access to services for recipients of aid
under this Article | ||||||
19 | and to provide appropriate incentives to ambulance service
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20 | providers to provide services in an efficient and | ||||||
21 | cost-effective manner. Thus,
it is the intent of the General | ||||||
22 | Assembly that the Illinois Department implement
a | ||||||
23 | reimbursement system for ambulance services that, to the | ||||||
24 | extent practicable
and subject to the availability of funds |
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1 | appropriated by the General Assembly
for this purpose, is | ||||||
2 | consistent with the payment principles of Medicare. To
ensure | ||||||
3 | uniformity between the payment principles of Medicare and | ||||||
4 | Medicaid, the
Illinois Department shall follow, to the extent | ||||||
5 | necessary and practicable and
subject to the availability of | ||||||
6 | funds appropriated by the General Assembly for
this purpose, | ||||||
7 | the statutes, laws, regulations, policies, procedures,
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8 | principles, definitions, guidelines, and manuals used to | ||||||
9 | determine the amounts
paid to ambulance service providers | ||||||
10 | under Title XVIII of the Social Security
Act (Medicare).
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11 | (b) For ambulance services provided to a recipient of aid | ||||||
12 | under this Article
on or after January 1, 1996, the Illinois | ||||||
13 | Department shall reimburse ambulance
service providers based | ||||||
14 | upon the actual distance traveled if a natural
disaster, | ||||||
15 | weather conditions, road repairs, or traffic congestion | ||||||
16 | necessitates
the use of a
route other than the most direct | ||||||
17 | route.
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18 | (c) For purposes of this Section, "ambulance services" | ||||||
19 | includes medical
transportation services provided by means of | ||||||
20 | an ambulance, medi-car, service
car, or
taxi.
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21 | (c-1) For purposes of this Section, "ground ambulance | ||||||
22 | service" means medical transportation services that are | ||||||
23 | described as ground ambulance services by the Centers for | ||||||
24 | Medicare and Medicaid Services and provided in a vehicle that | ||||||
25 | is licensed as an ambulance by the Illinois Department of | ||||||
26 | Public Health pursuant to the Emergency Medical Services (EMS) |
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1 | Systems Act. | ||||||
2 | (c-2) For purposes of this Section, "ground ambulance | ||||||
3 | service provider" means a vehicle service provider as | ||||||
4 | described in the Emergency Medical Services (EMS) Systems Act | ||||||
5 | that operates licensed ambulances for the purpose of providing | ||||||
6 | emergency ambulance services, or non-emergency ambulance | ||||||
7 | services, or both. For purposes of this Section, this includes | ||||||
8 | both ambulance providers and ambulance suppliers as described | ||||||
9 | by the Centers for Medicare and Medicaid Services. | ||||||
10 | (c-3) For purposes of this Section, "medi-car" means | ||||||
11 | transportation services provided to a patient who is confined | ||||||
12 | to a wheelchair and requires the use of a hydraulic or electric | ||||||
13 | lift or ramp and wheelchair lockdown when the patient's | ||||||
14 | condition does not require medical observation, medical | ||||||
15 | supervision, medical equipment, the administration of | ||||||
16 | medications, or the administration of oxygen. | ||||||
17 | (c-4) For purposes of this Section, "service car" means | ||||||
18 | transportation services provided to a patient by a passenger | ||||||
19 | vehicle where that patient does not require the specialized | ||||||
20 | modes described in subsection (c-1) or (c-3). | ||||||
21 | (d) This Section does not prohibit separate billing by | ||||||
22 | ambulance service
providers for oxygen furnished while | ||||||
23 | providing advanced life support
services.
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24 | (e) Beginning with services rendered on or after July 1, | ||||||
25 | 2008, all providers of non-emergency medi-car and service car | ||||||
26 | transportation must certify that the driver and employee |
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1 | attendant, as applicable, have completed a safety program | ||||||
2 | approved by the Department to protect both the patient and the | ||||||
3 | driver, prior to transporting a patient.
The provider must | ||||||
4 | maintain this certification in its records. The provider shall | ||||||
5 | produce such documentation upon demand by the Department or | ||||||
6 | its representative. Failure to produce documentation of such | ||||||
7 | training shall result in recovery of any payments made by the | ||||||
8 | Department for services rendered by a non-certified driver or | ||||||
9 | employee attendant. Medi-car and service car providers must | ||||||
10 | maintain legible documentation in their records of the driver | ||||||
11 | and, as applicable, employee attendant that actually | ||||||
12 | transported the patient. Providers must recertify all drivers | ||||||
13 | and employee attendants every 3 years.
If they meet the | ||||||
14 | established training components set forth by the Department, | ||||||
15 | providers of non-emergency medi-car and service car | ||||||
16 | transportation that are either directly or through an | ||||||
17 | affiliated company licensed by the Department of Public Health | ||||||
18 | shall be approved by the Department to have in-house safety | ||||||
19 | programs for training their own staff. | ||||||
20 | Notwithstanding the requirements above, any public | ||||||
21 | transportation provider of medi-car and service car | ||||||
22 | transportation that receives federal funding under 49 U.S.C. | ||||||
23 | 5307 and 5311 need not certify its drivers and employee | ||||||
24 | attendants under this Section, since safety training is | ||||||
25 | already federally mandated.
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26 | (f) With respect to any policy or program administered by |
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1 | the Department or its agent regarding approval of | ||||||
2 | non-emergency medical transportation by ground ambulance | ||||||
3 | service providers, including, but not limited to, the | ||||||
4 | Non-Emergency Transportation Services Prior Approval Program | ||||||
5 | (NETSPAP), the Department shall establish by rule a process by | ||||||
6 | which ground ambulance service providers of non-emergency | ||||||
7 | medical transportation may appeal any decision by the | ||||||
8 | Department or its agent for which no denial was received prior | ||||||
9 | to the time of transport that either (i) denies a request for | ||||||
10 | approval for payment of non-emergency transportation by means | ||||||
11 | of ground ambulance service or (ii) grants a request for | ||||||
12 | approval of non-emergency transportation by means of ground | ||||||
13 | ambulance service at a level of service that entitles the | ||||||
14 | ground ambulance service provider to a lower level of | ||||||
15 | compensation from the Department than the ground ambulance | ||||||
16 | service provider would have received as compensation for the | ||||||
17 | level of service requested. The rule shall be filed by | ||||||
18 | December 15, 2012 and shall provide that, for any decision | ||||||
19 | rendered by the Department or its agent on or after the date | ||||||
20 | the rule takes effect, the ground ambulance service provider | ||||||
21 | shall have 60 days from the date the decision is received to | ||||||
22 | file an appeal. The rule established by the Department shall | ||||||
23 | be, insofar as is practical, consistent with the Illinois | ||||||
24 | Administrative Procedure Act. The Director's decision on an | ||||||
25 | appeal under this Section shall be a final administrative | ||||||
26 | decision subject to review under the Administrative Review |
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1 | Law. | ||||||
2 | (f-5) Beginning 90 days after July 20, 2012 (the effective | ||||||
3 | date of Public Act 97-842), (i) no denial of a request for | ||||||
4 | approval for payment of non-emergency transportation by means | ||||||
5 | of ground ambulance service, and (ii) no approval of | ||||||
6 | non-emergency transportation by means of ground ambulance | ||||||
7 | service at a level of service that entitles the ground | ||||||
8 | ambulance service provider to a lower level of compensation | ||||||
9 | from the Department than would have been received at the level | ||||||
10 | of service submitted by the ground ambulance service provider, | ||||||
11 | may be issued by the Department or its agent unless the | ||||||
12 | Department has submitted the criteria for determining the | ||||||
13 | appropriateness of the transport for first notice publication | ||||||
14 | in the Illinois Register pursuant to Section 5-40 of the | ||||||
15 | Illinois Administrative Procedure Act. | ||||||
16 | (f-6) Within 90 days after the effective date of this | ||||||
17 | amendatory Act of the 102nd General Assembly, the Department | ||||||
18 | shall adjust the criteria established under subsection (f-5) | ||||||
19 | by striking any reference to prohibiting approval of ground | ||||||
20 | ambulance services when the sole purpose of the transport is | ||||||
21 | for the navigation of stairs or the assisting or lifting of a | ||||||
22 | patient at a medical facility or during a medical appointment. | ||||||
23 | It is the intent of the General Assembly to permit ground | ||||||
24 | ambulance reimbursement for lifting, moving, or navigating | ||||||
25 | stairs in instances when a recipient exhibits extenuating | ||||||
26 | circumstances related to the social determinants of health |
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1 | which would make an otherwise non-eligible ground ambulance | ||||||
2 | transport eligible for reimbursement. Such extenuating | ||||||
3 | circumstances may include a condition which would present an | ||||||
4 | unreasonable risk for the patient to navigate the stairs | ||||||
5 | without the assistance of medically trained ground ambulance | ||||||
6 | personnel. Such extenuating circumstances may be established | ||||||
7 | through the completion of a Physician Certification Statement | ||||||
8 | as set forth in subsection (g). | ||||||
9 | (f-7) For non-emergency ground ambulance claims properly | ||||||
10 | denied under Department policy at the time the claim is filed | ||||||
11 | due to failure to submit a valid Medical Certification for | ||||||
12 | Non-Emergency Ambulance on and after December 15, 2012 and | ||||||
13 | prior to January 1, 2021, the Department shall allot | ||||||
14 | $2,000,000 to a pool to reimburse such claims if the provider | ||||||
15 | proves medical necessity for the service by other means. | ||||||
16 | Providers must submit any such denied claims for which they | ||||||
17 | seek compensation to the Department no later than December 31, | ||||||
18 | 2021 along with documentation of medical necessity. No later | ||||||
19 | than May 31, 2022, the Department shall determine for which | ||||||
20 | claims medical necessity was established. Such claims for | ||||||
21 | which medical necessity was established shall be paid at the | ||||||
22 | rate in effect at the time of the service, provided the | ||||||
23 | $2,000,000 is sufficient to pay at those rates. If the pool is | ||||||
24 | not sufficient, claims shall be paid at a uniform percentage | ||||||
25 | of the applicable rate such that the pool of $2,000,000 is | ||||||
26 | exhausted. The appeal process described in subsection (f) |
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1 | shall not be applicable to the Department's determinations | ||||||
2 | made in accordance with this subsection. | ||||||
3 | (g) Whenever a patient covered by a medical assistance | ||||||
4 | program under this Code or by another medical program | ||||||
5 | administered by the Department, including a patient covered | ||||||
6 | under the State's Medicaid managed care program, is being | ||||||
7 | transported from a facility and requires non-emergency | ||||||
8 | transportation including ground ambulance, medi-car, or | ||||||
9 | service car transportation, a Physician Certification | ||||||
10 | Statement as described in this Section shall be required for | ||||||
11 | each patient. Facilities shall develop procedures for a | ||||||
12 | licensed medical professional to provide a written and signed | ||||||
13 | Physician Certification Statement. The Physician Certification | ||||||
14 | Statement shall specify the level of transportation services | ||||||
15 | needed and complete a medical certification establishing the | ||||||
16 | criteria for approval of non-emergency ambulance | ||||||
17 | transportation, as published by the Department of Healthcare | ||||||
18 | and Family Services, that is met by the patient. This | ||||||
19 | certification shall be completed prior to ordering the | ||||||
20 | transportation service and prior to patient discharge. The | ||||||
21 | Physician Certification Statement is not required prior to | ||||||
22 | transport if a delay in transport can be expected to | ||||||
23 | negatively affect the patient outcome. If the ground ambulance | ||||||
24 | provider, medi-car provider, or service car provider is unable | ||||||
25 | to obtain the required Physician Certification Statement | ||||||
26 | within 10 calendar days following the date of the service, the |
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1 | ground ambulance provider, medi-car provider, or service car | ||||||
2 | provider must document its attempt to obtain the requested | ||||||
3 | certification and may then submit the claim for payment. | ||||||
4 | Acceptable documentation includes a signed return receipt from | ||||||
5 | the U.S. Postal Service, facsimile receipt, email receipt, or | ||||||
6 | other similar service that evidences that the ground ambulance | ||||||
7 | provider, medi-car provider, or service car provider attempted | ||||||
8 | to obtain the required Physician Certification Statement. | ||||||
9 | The medical certification specifying the level and type of | ||||||
10 | non-emergency transportation needed shall be in the form of | ||||||
11 | the Physician Certification Statement on a standardized form | ||||||
12 | prescribed by the Department of Healthcare and Family | ||||||
13 | Services. Within 75 days after July 27, 2018 (the effective | ||||||
14 | date of Public Act 100-646), the Department of Healthcare and | ||||||
15 | Family Services shall develop a standardized form of the | ||||||
16 | Physician Certification Statement specifying the level and | ||||||
17 | type of transportation services needed in consultation with | ||||||
18 | the Department of Public Health, Medicaid managed care | ||||||
19 | organizations, a statewide association representing ambulance | ||||||
20 | providers, a statewide association representing hospitals, 3 | ||||||
21 | statewide associations representing nursing homes, and other | ||||||
22 | stakeholders. The Physician Certification Statement shall | ||||||
23 | include, but is not limited to, the criteria necessary to | ||||||
24 | demonstrate medical necessity for the level of transport | ||||||
25 | needed as required by (i) the Department of Healthcare and | ||||||
26 | Family Services and (ii) the federal Centers for Medicare and |
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1 | Medicaid Services as outlined in the Centers for Medicare and | ||||||
2 | Medicaid Services' Medicare Benefit Policy Manual, Pub. | ||||||
3 | 100-02, Chap. 10, Sec. 10.2.1, et seq. The use of the Physician | ||||||
4 | Certification Statement shall satisfy the obligations of | ||||||
5 | hospitals under Section 6.22 of the Hospital Licensing Act and | ||||||
6 | nursing homes under Section 2-217 of the Nursing Home Care | ||||||
7 | Act. Implementation and acceptance of the Physician | ||||||
8 | Certification Statement shall take place no later than 90 days | ||||||
9 | after the issuance of the Physician Certification Statement by | ||||||
10 | the Department of Healthcare and Family Services. | ||||||
11 | Pursuant to subsection (E) of Section 12-4.25 of this | ||||||
12 | Code, the Department is entitled to recover overpayments paid | ||||||
13 | to a provider or vendor, including, but not limited to, from | ||||||
14 | the discharging physician, the discharging facility, and the | ||||||
15 | ground ambulance service provider, in instances where a | ||||||
16 | non-emergency ground ambulance service is rendered as the | ||||||
17 | result of improper or false certification. | ||||||
18 | Beginning October 1, 2018, the Department of Healthcare | ||||||
19 | and Family Services shall collect data from Medicaid managed | ||||||
20 | care organizations and transportation brokers, including the | ||||||
21 | Department's NETSPAP broker, regarding denials and appeals | ||||||
22 | related to the missing or incomplete Physician Certification | ||||||
23 | Statement forms and overall compliance with this subsection. | ||||||
24 | The Department of Healthcare and Family Services shall publish | ||||||
25 | quarterly results on its website within 15 days following the | ||||||
26 | end of each quarter. |
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1 | (h) On and after July 1, 2012, the Department shall reduce | ||||||
2 | any rate of reimbursement for services or other payments or | ||||||
3 | alter any methodologies authorized by this Code to reduce any | ||||||
4 | rate of reimbursement for services or other payments in | ||||||
5 | accordance with Section 5-5e. | ||||||
6 | (i) On and after July 1, 2018, the Department shall | ||||||
7 | increase the base rate of reimbursement for both base charges | ||||||
8 | and mileage charges for ground ambulance service providers for | ||||||
9 | medical transportation services provided by means of a ground | ||||||
10 | ambulance to a level not lower than rates 112% of the base rate | ||||||
11 | in effect as of July 1, 2021 June 30, 2018 . | ||||||
12 | (k) Within 90 days after the effective date of this | ||||||
13 | amendatory Act of the 102nd General Assembly, the Department | ||||||
14 | shall establish a methodology for providing reimbursement for: | ||||||
15 | (i) bariatric transports at an amount of one additional base | ||||||
16 | rate for each additional 2 personnel necessary to safely move | ||||||
17 | the patient; and (ii) specialty care transports to include | ||||||
18 | transports originating or terminating at a residence and for | ||||||
19 | intra-facility transports. | ||||||
20 | (Source: P.A. 101-81, eff. 7-12-19; 101-649, eff. 7-7-20; | ||||||
21 | 102-364, eff. 1-1-22; 102-650, eff. 8-27-21; revised 11-8-21.)
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22 | (305 ILCS 5/5-30c new) | ||||||
23 | Sec. 5-30c. Medi-car and stretcher van services; rate | ||||||
24 | increase. To ensure access to medical appointments and covered | ||||||
25 | services and realize the objectives of the medical assistance |
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1 | program, the General Assembly must address the inadequate | ||||||
2 | supply of non-emergency medical transportation providers | ||||||
3 | across the State. To increase access to non-emergency | ||||||
4 | transportation services, the Department shall increase the | ||||||
5 | base rate for medi-car and stretcher van services to at least | ||||||
6 | $50, and the rate of each attendant for medi-car and stretcher | ||||||
7 | van services to at least $50. This reimbursement rate shall | ||||||
8 | only apply to stretcher van providers licensed by the | ||||||
9 | Department of Public Health in accordance with Section 3.86 of | ||||||
10 | the Emergency Medical Services (EMS) Systems Act. The | ||||||
11 | Department shall establish a grant program for the purpose of | ||||||
12 | building capacity among IMPACT-enrolled and BEP-certified | ||||||
13 | providers of medi-car and stretcher van transportation | ||||||
14 | services.
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15 | Section 99. Effective date. This Act takes effect upon | ||||||
16 | becoming law.".
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