IL HB3380 | 2017-2018 | 100th General Assembly

Status

Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Failed on January 8 2019 - 100% progression
Action: 2019-01-08 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Summary

Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall, within a reasonable period of time, develop and implement within each enrollment region an algorithm that preserves existing provider-beneficiary relationships and that takes into account previous relationships with managed care entities in order to automatically assign Medicaid enrollees served under the Family Health Plan and the Integrated Care Program and those Medicaid enrollees eligible for medical assistance pursuant to the Patient Protection and Affordable Care Act into managed care entities, including accountable care entities, managed care community networks, and managed care organizations. Provides that the algorithm shall not use the quality and proficiency metrics to reassign enrollees out of any plan in which they are enrolled at the time and shall only be used if the client has not voluntarily selected a primary care physician and a managed care entity or care coordination entity. Provides that clients shall have one opportunity within 90 calendar days after auto-assignment by algorithm to select a different managed care entity. Requires the Department to seek input from stakeholders, including, but not limited to, Medicaid health plans and consumer advocacy organizations, prior to changing the automatic assignment algorithm. Requires the Department to publish the automatic assignment algorithm's components and on a quarterly basis publish auto-assignment enrollment numbers as well as the corresponding logic for those enrollment numbers.

Tracking Information

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Title

DHFS-MCO ENROLLMENT-ALGORITHM

Sponsors


History

DateChamberAction
2019-01-08HouseSession Sine Die
2017-03-31HouseRule 19(a) / Re-referred to Rules Committee
2017-03-22HouseReported Back To Human Services Committee;
2017-03-22HouseRecommends Do Pass Subcommittee/ Human Services Committee; 002-001-000
2017-03-08HouseTo HS Medicaid Subcommittee
2017-02-22HouseAssigned to Human Services Committee
2017-02-10HouseReferred to Rules Committee
2017-02-10HouseFirst Reading
2017-02-09HouseFiled with the Clerk by Rep. Sara Feigenholtz

Code Citations

ChapterArticleSectionCitation TypeStatute Text
30555-30.6New CodeSee Bill Text

Illinois State Sources


Bill Comments

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