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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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20 Ill. Comp. Stat. §§ 1705/1 & 1705/2: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Statutes provide purpose and definitions for the Mental Health and Developmental Disabilities Administrative Act.
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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. § 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.
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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. §§ 88/1 through 88/55: Fair Patient Billing Act – Illinois
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 …
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215 Ill. Comp. Stat. § 105/15. Alternative portable coverage for federally eligible individuals: Comprehensive Health Insurance Plan Act – Illinois
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 …
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215 Ill. Comp. Stat. § 130/4004. Examination of affairs and quality of services by the Director; books and records: Limited Health Service Organization Act – Illinois
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 …
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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. § 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. §§ 105/1 through 105/8: Comprehensive Health Insurance Plan Act – Illinois
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 …
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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. §§ 125/4-10 through 125/4-20: Health Maintenance Organization Act — Delivery of Services – Required Provisions and Marketing – Illinois
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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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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