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20 Ill. Comp. Stat. § 1705/54. Establishment of rates for purchase of service: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1983
Statute establishes procedures for the development, calculation, and communication of rates promulgated by the Department for the purchase of services for persons with a developmental disability and persons with mental illness. Statute requires that rates …
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20 Ill. Comp. Stat. § 1705/9. Charges for outpatient services: Mental Health and Developmental Disabilities Administrative Act – Illinois
Status: Enacted     Year Enacted: 1961
Only reasonable charges shall be imposed for outpatient services at State facilities. What is reasonable shall be determined by the Department and charges may be waived for persons who are unable to make payment.
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20 Ill. Comp. Stat. § 301/55-30. Rate increase: Substance Use Disorder Act – Illinois
Status: Enacted     Year Enacted: 2017
Department shall by rule develop the increased rate methodology and annualize the increased rate beginning with the State fiscal year 2018 to licensed providers of community-based substance use disorder intervention and treatment, based on the …
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20 Ill. Comp. Stat. § 505/5.35. Residential services; rates: Children and Family Services Act – Illinois
Status: Enacted     Year Enacted: 2009
The Department has rate-setting authority to develop a performance-based model for residential services for children under the age of 22.
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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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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. § 125/4-12. Changes in Rate Methodology and Benefits, Material Modifications: Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1989
A health maintenance organization shall file with the Director, prior to use, a notice of any change in rate methodology, or benefits and of any material modification of any matter or document furnished pursuant to …
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215 Ill. Comp. Stat. § 125/5-7. Rules and regulations to carry out provisions of Act: General Provisions– Health Maintenance Organization Act – Illinois
Status: Enacted     Year Enacted: 1974
Statute allows Director to promulgate reasonable rules and regulations that are necessary and proper to establish specific standards including full and fair disclosure of health care services provided by group contracts or evidences of coverage …
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215 Ill. Comp. Stat. § 130/3006. Changes in rate methodology and benefits; material modifications; addition of limited health services: Limited Health Service Organization Act – Illinois
Status: Enacted     Year Enacted: 1989
Statute requires that limited health service organizations file with the Director prior to use a notice of any change in rate methodology, charges or benefits.
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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. §§ 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. §§ 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. §§ 5/155.57 & 5/155.58: Credit Life and Credit Accident and Health Insurance – Illinois
Status: Enacted     Year Enacted: 1959
Statutes requires that all policies, certificates of insurance and schedules of premium rates be filed with the Director. The Director shall disapprove any form if the benefits provided are not reasonable in relation to the …
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215 Ill. Comp. Stat. §§ 93/1 through 93/35: Small Employer Health Insurance Rating Act – Illinois
Status: Enacted     Year Enacted: 2000
The intent of this Act is to improve the efficiency and fairness of the small group health insurance marketplace. Statutes regulate premium rates and require small employer carriers to make its rating practices available to …
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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. §§ 27-18.5-1 through 27-18.5-10: Individual Health Insurance Coverage – Rhode Island
Status: Enacted     Year Enacted: 2000
The purpose of this chapter is, among other things, to insure compliance of all policies, contracts, certificates, and agreements of individual health insurance coverage offered or delivered in this state with the Health Insurance Portability …
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