Bill Text: IL SB0637 | 2019-2020 | 101st General Assembly | Introduced
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to set a rate of reimbursement under the fee-for-service medical assistance program for custom prosthetic and orthotic devices at a rate no less than the Medicare rate for the year minus 6%. Provides that the Department must ensure that all Medicaid managed care plans comply with network adequacy requirements for custom prosthetic and orthotic device services. Requires the Department and contracted managed care organizations to comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.
Spectrum: Bipartisan Bill
Status: (Failed) 2021-01-13 - Session Sine Die [SB0637 Detail]
Download: Illinois-2019-SB0637-Introduced.html
Bill Title: Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that coverage for custom prosthetic and orthotic devices under the fee-for-service medical assistance program and under any Medicaid managed care plan shall be no less favorable than the terms and conditions that apply to substantially all medical and surgical benefits provided under the fee-for-service medical assistance program or the Medicaid managed care plan. Requires the Department of Healthcare and Family Services to set a rate of reimbursement under the fee-for-service medical assistance program for custom prosthetic and orthotic devices at a rate no less than the Medicare rate for the year minus 6%. Provides that the Department must ensure that all Medicaid managed care plans comply with network adequacy requirements for custom prosthetic and orthotic device services. Requires the Department and contracted managed care organizations to comply with the Orthotics, Prosthetics, and Pedorthics Practice Act when making payments for custom orthotic and custom prosthetic devices.
Spectrum: Bipartisan Bill
Status: (Failed) 2021-01-13 - Session Sine Die [SB0637 Detail]
Download: Illinois-2019-SB0637-Introduced.html
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| 1 | AN ACT concerning public aid.
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| 2 | Be it enacted by the People of the State of Illinois, | |||||||||||||||||||
| 3 | represented in the General Assembly:
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| 4 | Section 5. The Illinois Public Aid Code is amended by | |||||||||||||||||||
| 5 | changing Section 3-4 as follows:
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| 6 | (305 ILCS 5/3-4) (from Ch. 23, par. 3-4)
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| 7 | Sec. 3-4. Examination as to disability. For all purposes, | |||||||||||||||||||
| 8 | the
the Illinois Department may accept determinations
as to | |||||||||||||||||||
| 9 | disability performed under the auspices of the Federal Social
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| 10 | Security Administration and properly certified to the | |||||||||||||||||||
| 11 | Department. | |||||||||||||||||||
| 12 | (Source: P.A. 89-21, eff. 7-1-95.)
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