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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. §§ 1705/4 through 1705/4.4: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Statutes require certain services to be provided in a State-operated facility and require such services to be monitored for quality. Statutes also require regular and ongoing on-site inspections of each facility under its jurisdiction. Statutes …
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20 Ill. Comp. Stat. §§ 2325/1 through 2325/20: Comprehensive Healthcare Workforce Planning Act – Illinois
Status: Enacted     Year Enacted: 2012
Statutes create the State Healthcare Workforce Council to provide an ongoing assessment of the healthcare workforce in Illinois. Every five years the the Department, in cooperation with the council, shall prepare a healthcare workforce plan …
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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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215 Ill. Comp. Stat. § 134/10. Definitions: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
Definitions for the Managed Care Reform and Patient Rights Act.
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215 Ill. Comp. Stat. § 134/5. Health care patient rights: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A patient has the right, regardless of source of payment, to examine and to receive a reasonable explanation of his or her total bill for health care services rendered by his or her physician or …
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215 Ill. Comp. Stat. § 134/55. Record of complaints: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
The Department shall make a summary of all data collected of complaints against health care plans available upon request and publish the summary on the internet. The complaints shall be classified under several categories, including, …
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215 Ill. Comp. Stat. § 134/65. Emergency services prior to stabilization: Managed Care Reform and Patient Rights Act – Illinois
Status: Enacted     Year Enacted: 2000
A health care plan that provides or that is required by law to provide coverage for emergency services shall provide coverage such that payment under this coverage is not dependent upon whether the services are …
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215 Ill. Comp. Stat. § 5/356r. Woman’s principal health care provider: Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 1997
Women shall have the right to select a female principal health provider. If a female insured or enrollee has designated a woman’s principal health care provider, then the insured or enrollee must be given direct …
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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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215 Ill. Comp. Stat. §§ 170/47 through 170/52: Covering All Kids Health Insurance Act – Illinois
Status: Enacted     Year Enacted: 2006
The Department shall report information on the number of professionals serving in the primary care management program and the number of non-primary care providers accepting referrals for counties with a population of 100,000 or greater. …
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23 R.I. Gen. Laws § 23-1-1.1. Health planning — Findings: Department of Health – Rhode Island
Status: Enacted     Year Enacted: 1988
It is found and determined that health planning is essential to promote appropriate access to high quality health services at a reasonable cost and is a precondition to effective public health practice by the department …
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23 R.I. Gen. Laws § 23-1-1.2. Health planning process: Department of Health – Rhode Island
Status: Enacted     Year Enacted: 1988
The director of health, with the approval of the governor, may appoint various committees and task forces as appropriate to assist and advise the department of health in the conduct of its health planning responsibilities, …
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27 R.I. Gen. Laws § 27-18.8-3. Certification of network plans: Health Care Accessibility and Quality Assurance Act – Rhode Island
Status: Enacted     Year Enacted: 2017
Describes the requirements for a network to be certified by the Insurance Commissioner. Prohibits most favored nation clauses. Originally enacted in 2003 as 23 R.I. Gen. Laws §§ 23-17.13-2 and 23-17.13-3. General certificate requirements: Health …
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27 R.I. Gen. Laws § 27-20-1. Definitions: Nonprofit Medical Service Corporations – Rhode Island
Status: Enacted     Year Enacted: 1945
Definitions related to Nonprofit Medical Service Corporations
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27 R.I. Gen. Laws § 27-41-16. Examination: Health Maintenance Organization Act – Rhode Island
Status: Enacted     Year Enacted: 1983
The director of health may make an examination concerning the quality of health care services of any health maintenance organization and the providers with whom the organization has contracts, agreements, or other arrangements as often …
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