Bill Text: IL HB1638 | 2023-2024 | 103rd General Assembly | Introduced

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Bill Title: Amends the Substance Use Disorder Act and the Medical Assistance Article of the Illinois Public Aid Code. Provides that a provider, including a provider enrolled in the medical assistance program, that is licensed and contracted by the Department of Human Services to provide Level 3.5 and 3.5D residential services or Level 3.7D withdrawal management services for persons with a substance use disorder shall be paid the contracted rate for the day of discharge if, as a result of the Department's September 1, 2020 changes to reimbursement rates and methodology standards, the provider's contracted reimbursement rate is not sufficient to offset any loss of revenue associated with the Department's prohibition on billing for the day of discharge.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Failed) 2025-01-07 - Session Sine Die [HB1638 Detail]

Download: Illinois-2023-HB1638-Introduced.html

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103RD GENERAL ASSEMBLY State of Illinois 2023 and 2024 HB1638 Introduced , by Rep. Sharon Chung SYNOPSIS AS INTRODUCED:
20 ILCS 301/55-31 new
305 ILCS 5/5-41a new
Amends the Substance Use Disorder Act and the Medical Assistance Article of the Illinois Public Aid Code. Provides that a provider, including a provider enrolled in the medical assistance program, that is licensed and contracted by the Department of Human Services to provide Level 3.5 and 3.5D residential services or Level 3.7D withdrawal management services for persons with a substance use disorder shall be paid the contracted rate for the day of discharge if, as a result of the Department's September 1, 2020 changes to reimbursement rates and methodology standards, the provider's contracted reimbursement rate is not sufficient to offset any loss of revenue associated with the Department's prohibition on billing for the day of discharge.
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A BILL FOR
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AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Substance Use Disorder Act is amended by
adding Section 55-31 as follows:
(20 ILCS 301/55-31 new)
Sec. 55-31. Residential services; day of discharge rate. A
provider licensed and contracted by the Department to provide
Level 3.5 and 3.5D residential services or Level 3.7D
withdrawal management services to persons with a substance use
disorder shall be paid the contracted rate for the day of
discharge if, as a result of the Department's September 1,
2020 changes to reimbursement rates and methodology standards,
the provider's contracted reimbursement rate is not sufficient
to offset any loss of revenue associated with the Department's
prohibition on billing for the day of discharge.
Section 10. The Illinois Public Aid Code is amended by
adding Section 5-41a as follows:
(305 ILCS 5/5-41a new)
Sec. 5-41a. Residential services for substance use
disorders; day of discharge rate. A provider enrolled in the

HB1638 - 2 - LRB103 28271 KTG 54650 b
medical assistance program that is licensed and contracted by
the Department of Human Services' Division of Substance Use
Prevention and Recovery to provide Level 3.5 and 3.5D
residential services or Level 3.7D withdrawal management
services to persons with a substance use disorder shall be
paid the contracted rate for the day of discharge under the
medical assistance program if, as a result of the Department
of Human Services' September 1, 2020 changes to reimbursement
rates and methodology standards, the provider's contracted
reimbursement rate is not sufficient to offset any loss of
revenue associated with the Department's prohibition on
billing for the day of discharge.