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 […]
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 […]
Status: Enacted
Year Enacted: 1961
Statutes provide purpose and definitions for the Mental Health and Developmental Disabilities Administrative Act.
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 […]
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 […]
210 Ill. Comp. Stat. § 50/3.55. Scope of practice: Emergency Medical Services Systems Act – Illinois
Status: Enacted
Year Enacted: 1995
Statute provides emergency and non-emergency medical services that any person licensed as an EMR, EMT, EMT-I, A-EMT, PHRN, PHAPRN, PHPA, or Paramedic may perform.
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 […]
Status: Enacted
Year Enacted: 2007
The purpose of this act is to advance the prompt and accurate payment of health care services through fair and reasonable billing and collection practices of hospitals. Statutes require a hospital to provide specified information […]
Status: Enacted
Year Enacted: 1997
Statute governs portability provisions of comprehensive health insurance plan and requires that the coverages offered under this statute, the schedule of benefits, deductibles, co-payments, exclusions and other limitations be approved by the board.The board is […]
Status: Enacted
Year Enacted: 1989
The Director has the power to examine limited health service organizations to ensure the quality of limited health services and providers with whom the organization has contracts, agreements or other arrangements as he deems necessary […]
Status: Enacted
Year Enacted: 2000
A health care plan shall establish and maintain an appeals procedure as outlined in this Act. Compliance with this Act’s appeals procedures shall satisfy a health care plan’s obligation to provide appeal procedures under any […]
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, […]
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.
Status: Enacted
Year Enacted: 1987
Statutes create a board to supervise and control the Illinois Comprehensive Health Insurance Plan, the board may provide for and employ cost containment measures and requirements including utilization programs. The board has authority to establish […]
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 […]
Status: Enacted
Year Enacted: 1987
Statutes lay out indepenent review process for what constitutes “medically necessary” for a certain patient. Statutes require a health maintenance organization to file with the Director, prior to use, a notice of any change in […]
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