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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215 Ill. Comp. Stat. § 170/56. Care coordination: Covering All Kids Health Insurance Act – Illinois
Status: Enacted Year Enacted: 2011
Payment for such coordinated care shall be based on arrangements where the State pays for performance related to health care outcomes, the use of evidence-based practices, the use of primary care delivered through comprehensive medical …
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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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23 R.I. Gen. Laws § 23-17-28. Health care cost containment: Health Care Facility Licensing Act of Rhode Island – Rhode Island
Status: Enacted Year Enacted: 1981
Authorizes a health care facility to enter into agreement with other facilities, third-party payers, and branches of government for the purpose of reducing, limiting, or containing health care costs and improving the efficiency with which …
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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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305 Ill. Comp. Stat. § 5/5-5.02. Hospital reimbursements: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1989
Hospital reimbursement rates are calculated in accordance with this section.
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305 Ill. Comp. Stat. § 5/5-5.10. Value-based purchasing: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2019
Statute Department of Healthcare and Family Services and divisions within the Department of Human Services to discuss development of alternative value-based payment models that move away from fee-for-service and reward health outcomes ad=nd reward health …
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305 Ill. Comp. Stat. § 5/5-5f. Elimination and limitations of medical assistance services: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2012
Statute requires prior approval for certain services and requires the Department to establish benchmarks for hospitals to measure and align payments to reduce potentially preventable hospital readmissions, complications and unnecessary emergency room visits.
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305 Ill. Comp. Stat. §§ 65/1 through 65/10: Early Mental Health and Addictions Treatment Act – Illinois
Status: Enacted Year Enacted: 2018
In order to address the opiod epidemic, Illinois shall create the Assertive Engagement and Community-Based Clinical Treatment Pilot Program for early treatment of an opioid or other drug addiction. The Department of Healthcare and Family …
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40 R.I. Gen. Laws § 40-8-13.4. Rate methodology for payment for in state and out of state hospital services: Medical Assistance – Rhode Island
Status: Enacted Year Enacted: 2009
In order to improve efficiency and cost effectiveness, the executive office shall: With respect to inpatient services for persons in fee-for-service Medicaid, which is non-managed care, implement a new payment methodology for inpatient services utilizing …
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40 R.I. Gen. Laws § 40-8-13.5. Hospital Incentive Program: Medical Assistance – Rhode Island
Status: Enacted Year Enacted: 2015
The secretary of the executive office of health and human services is authorized to seek the federal authorities required to implement a hospital incentive program (HIP). The HIP shall provide the participating licensed hospitals the …
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42 R.I. Gen. Laws § 42-7.2-16. Medicaid System Reform 2008: Office of Health and Human Services – Rhode Island
Status: Enacted Year Enacted: 2008
Authorizes various state departments to authorized to design options that further the reforms in Medicaid initiated in 2008 to ensure that the program: utilizes competitive and value based purchasing to maximize the available service options, …
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42 R.I. Gen. Laws §§ 42-12.4-1 through 42-12.4-9: Rhode Island Medicaid Remform Act of 2008 – Rhode Island
Status: Enacted Year Enacted: 2008
The executive office of health and human services and the department of human services are authorized and shall apply for and obtain a global waiver and/or any necessary waivers and/or state plan amendments from the …
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42 R.I. Gen. Laws §§ 42-14.6-1 through 42-14.6-9: Rhode Island All-Payer Patient-Centered Medical Home Act – Rhode Island
Status: Enacted Year Enacted: 2011
The general assembly recognizes that patient-centered medical home (PCMH) is an approach to providing comprehensive primary care for children, youth and adults.
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