Bill Text: IL HB3031 | 2011-2012 | 97th General Assembly | Introduced

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Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require third-party providers that administer any portion of the medical assistance program to conduct, on a random sampling basis, an annual analysis of the enrollees under their authority. Requires all requests for proposals and associated third-party provider contracts issued by the Department to include a statement notifying third-party providers of this requirement. Effective immediately.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2013-01-08 - Session Sine Die [HB3031 Detail]

Download: Illinois-2011-HB3031-Introduced.html

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97TH GENERAL ASSEMBLY State of Illinois 2011 and 2012 HB3031 Introduced , by Rep. Jim Durkin SYNOPSIS AS INTRODUCED:
305 ILCS 5/5-16.6a new
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require third-party providers that administer any portion of the medical assistance program to conduct, on a random sampling basis, an annual analysis of the enrollees under their authority. Requires all requests for proposals and associated third-party provider contracts issued by the Department to include a statement notifying third-party providers of this requirement. Effective immediately.
LRB097 06464 KTG 46546 b
A BILL FOR
HB3031 LRB097 06464 KTG 46546 b
AN ACT concerning public aid.
Be it enacted by the People of the State of Illinois,
represented in the General Assembly:
Section 5. The Illinois Public Aid Code is amended by
adding Section 5-16.6a as follows:
(305 ILCS 5/5-16.6a new)
Sec. 5-16.6a. Provider contracts; enrollee analysis.
Beginning on the effective date of this amendatory Act of the
97th General Assembly, the Department shall require
third-party providers that administer any portion of the
medical assistance program to conduct, on a random sampling
basis, an annual analysis of the enrollees under their
authority. The analysis shall include a review for potential
fraudulent actions or improvements to address wasteful
spending. All requests for proposals and associated
third-party provider contracts issued by the Department shall
include a statement providing that an annual analysis conducted
pursuant to this Section is required under the contract.
Section 99. Effective date. This Act takes effect upon
becoming law.