Legislation


305 Ill. Comp. Stat. § 5/5-30. Care coordination: Medical Assistance – Illinois

Status: Enacted
Year Enacted: 2011
Year Amended: 2018
File: Download

At least 50% of eligible patients shall be enrolled in the coordinated care program. Payments can be based on the coordination of care. There is a specific program for patients with chronic illnesses, and the department shall evaluate its cost-effectiveness. The Department shall actively monitor the contractual relationship between Managed Care Organizations (MCOs) and any dental administrator contracted by an MCO to provide dental services. The Department shall adopt appropriate dental Healthcare Effectiveness Data and Information Set (HEDIS) measures and shall include the Annual Dental Visit (ADV) HEDIS measure in its Health Plan Comparison Tool and Illinois Medicaid Plan Report Card that is available on the Department’s website for enrolled individuals.


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