Illinois House Bill 4635 (Prior Session Legislation)

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Completed Legislative Action
Spectrum: Partisan Bill (Democrat 1-0)
Status: Failed on January 8 2013 - 100% progression
Action: 2013-01-08 - Session Sine Die
Text: Latest bill text (Introduced) [HTML]

Creates the Program Integrity for Medicaid and the Children's Health Insurance Program Act. Provides that it is the intent of the General Assembly to implement waste, fraud, and abuse detection, prevention, and recovery solutions to improve program integrity for Medicaid and the Children's Health Insurance Program in the State and create efficiency and cost savings through a shift from a retrospective "pay and chase" model to a prospective pre-payment model; and to comply with program integrity provisions of the federal Patient Protection and Affordable Care Act and the Health Care and Education Reconciliation Act of 2010. In furtherance of these goals, requires the State to implement several technologies and services including (i) provider data verification and provider screening technology; (ii) state-of-the-art clinical code editing technology; (iii) state-of-the-art predictive modeling and analytics technologies; (iv) fraud investigative services; and (v) Medicaid and CHIP claims audit and recovery services. Requires the State to either contract with The Cooperative Purchasing Network (TCPN) to issue a request for proposals (RFP) when selecting a contractor or use the specified contractor selection process. Contains provisions concerning contracts, reporting requirements, and savings. Effective immediately.

PROGRAM INTEGRITY-MEDICAD&CHIP

Rep. Camille Lilly [D]

Date	Chamber	Action
2013-01-08	House	Session Sine Die
2012-03-09	House	Rule 19(a) / Re-referred to Rules Committee
2012-02-15	House	Assigned to Appropriations-Human Services Committee
2012-02-01	House	Referred to Rules Committee
2012-02-01	House	First Reading
2012-02-01	House	Filed with the Clerk by Rep. Camille Y. Lilly

Type	Source
Summary	https://www.ilga.gov/legislation/BillStatus.asp?DocNum=4635&GAID=11&DocTypeID=HB&SessionID=84&GA=97
Text	https://www.ilga.gov/legislation/97/HB/09700HB4635.htm