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20 Ill. Comp. Stat. § 505/5.45. Managed care plan services: Children and Family Services Act – Illinois
Status: Enacted     Year Enacted: 2018
Statute regulates Medicaid managed care organizations and plans that cover children. Statute requires managed care organizations to post certain information on its website, including defined prior authorization requirements. Prior to transitioning a child to managed …
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20 Ill. Comp. Stat. §§ 1340/1 through 1340/25: Regional Integrated Behavioral Health Networks Act – Illinois
Status: Enacted     Year Enacted: 2012
Each Network shall develop a plan for its respective region that addresses the following: inventory of all mental health and substance use disorder services; identification of unmet community needs, identification of opportunities to improve access …
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210 Ill. Comp. Stat. §§ 155/1 through 155/45: Long Term Acute Care Hospital Quality Improvement Transfer Program Act – Illinois
Status: Enacted     Year Enacted: 2010
Act created as a method to improve health care outcomes of patients, which results in a more efficient use of resources needed to provide care. It is estimated this Act could save $10,000,000 annually. Statutes …
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210 Ill. Comp. Stat. §§ 3/1 through 3/35: Alternative Health Care Delivery Act – Illinois
Status: Enacted     Year Enacted: 1992
The Alternative Health Care Delivery Act is created by these statutes with the intent to foster new and innovative solutions to health care problems, including limited access, lack of choice and high cost. These statutes …
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210 Ill. Comp. Stat. §§ 49/1-101.3 through 49/1-102: Specialized Mental Health Rehabilitation Act of 2013 – Illinois
Status: Enacted     Year Enacted: 2013
Statutes promote community-integrated behavioral health services for people with serious mental illnesses. Statutes recognize alternatives are necessary because inpatient hospitalization rates for behavioral health services are high in Illinois and are the least cost effective …
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215 Ill. Comp. Stat. § 5/356z.22. Coverage for telehealth services: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 2015
Plans may not exclude telehealth services just because they are not in person.
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215 Ill. Comp. Stat. §§ 106/1 through 106/30: Children’s Health Insurance Program Act – Illinois
Status: Enacted     Year Enacted: 1998
The Act enables low-income children of Illinois to access health benefits coverage, especially preventative health care. Statute requires that at least 50% of recipients eligible for comprehensive medical benefits be enrolled in a care coordination …
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215 Ill. Comp. Stat. §§ 124/1 through 124/25: Network Adequacy and Transparency Act – Illinois
Status: Enacted     Year Enacted: 2017
Statutes prohibit an insurer from prohibiting a preferred provider from discussing any specific or all treatment options with beneficiaries or from advocating on behalf of beneficiaries within utilization review. If the insurer does not have …
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225 Ill. Comp. Stat. § 60/49.5. Telemedicine: Medical Practice Act of 1987 – Illinois
Status: Enacted     Year Enacted: 2018
Statute provides a definition of telemedicine and regulates the practice of telemedicine.
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225 Ill. Comp. Stat. §§ 150/1 through 150/15: Telehealth Act – Illinois
Status: Enacted     Year Enacted: 2018
Statutes govern the practice of telehealth in Illinois.
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23 R.I. Gen. Laws § 23-17.22-1. Short title: Healthy Rhode Island Reform Act of 2008 – Rhode Island
Status: Enacted     Year Enacted: 2008
This chapter shall be known and may be cited as the “Healthy Rhode Island Reform Act of 2008.”
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23 R.I. Gen. Laws § 23-17.22-2. Establishment of healthy Rhode Island strategic plan: Healthy Rhode Island Reform Act of 2008 – Rhode Island
Status: Enacted     Year Enacted: 2008
The director of health in consultation with the health care planning and accountability advisory council established pursuant to chapter 81 of title 23, shall be responsible for the development and implementation of a five (5) …
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23 R.I. Gen. Laws § 23-17.22-3. Healthy Rhode Island chronic care management program: Healthy Rhode Island Reform Act of 2008 – Rhode Island
Status: Enacted     Year Enacted: 2008
The “Healthy Rhode Island Chronic Care Management Program” may provide incentive payments to physicians based on the quality of their care.
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23 R.I. Gen. Laws §§ 23-81-1 through 21-81-6: Rhode Island Coordinated Health Planning Act of 2006 – Rhode Island
Status: Enacted     Year Enacted: 2007
The general assembly finds that the people of this state have a fundamental interest in the establishment of a comprehensive strategic health care planning process and the preparation, maintenance, and implementation of plans to improve …
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27 R.I. Gen. Laws §§ 27-18.9-1 through 27-18.9-15: Benefit Determination and Utilization Review Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Provisions govern benefit determinations and utilization review.
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27 R.I. Gen. Laws §§ 27-68-1 & 27-68-2: Pilot Primary Care Program for the Uninsured – Rhode Island
Status: Enacted     Year Enacted: 2004
To increase access to primary care for those state residents who do not have access to health insurance coverage or who are unable to afford health insurance coverage, the director of the state department of …
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