305 Ill. Comp. Stat. § 5/5-15.5. Preventative physical examinations; demonstration program: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1994
Statute created a demonstration program of preventative physical examinations subject to receipt of all necessary federal waivers.
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305 Ill. Comp. Stat. § 5/5-16. Managed Care: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1990
he Illinois Department may develop and implement a Primary Care Sponsor System consistent with the provisions of this Section. The purpose of this managed care delivery system shall be to contain the costs of providing …
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305 Ill. Comp. Stat. § 5/5-2. Class of persons eligible: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1967
Statute provides classes of persons to which medical assistance shall be available, which includes persons eligible pursuant to a waiver.
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305 Ill. Comp. Stat. § 5/5-2.01. Medicaid accountability through transparency program: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2010
There is a Medicaid accountability though transparency program through which the department shall publish de-identified information about claims.
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305 Ill. Comp. Stat. § 5/5-30.1. Managed care protections: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2014
An MCO shall pay any provider of emergency services that does not have in effect a contract with the contracted Medicaid MCO. The default rate of reimbursement shall be the rate paid under Illinois Medicaid …
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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. §§ 5/5-1 through 5/5-1.3: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1967
Medicaid definitions and provisions for Illinois. Statute includes Medicaid demonstration projects that the Illinois government must apply for federal waivers or approvals necessary in order to conduct. Medicaid is the payor of last resort, all …
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305 Ill. Comp. Stat. §§ 5/5-5.05 through 5.05b. Psychiatric Treatment and Services: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2008
Statute sets per diem rate to be paid to a hospital for inpatient psychiatric services and sets reimbursement rates for psychiatric and behavioral health services in or by community mental health centers. Statutes require the …
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305 Ill. Comp. Stat. §§ 5/5-5.2 through 5.4. Payment, Conditions & Standards: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1978
Statute sets per diem rate to be paid to a hospital for inpatient psychiatric services and sets reimbursement rates for psychiatric and behavioral health services in or by community mental health centers. Statutes require the …
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305 Ill. Comp. Stat. §§ 5/5A-12.2 through 12.5: Hospital Provider Funding – Illinois
Status: Enacted Year Enacted: 2008
To preserve and improve access to hospital services, for hospital services rendered on or after July 1, 2008, the Illinois Department shall, except for hospitals described in subsection (b) of Section 5A-3, make payments to …
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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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35 Pa. Cons. Stat. § 10227.102. Definitions: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Defines terms related to the Community-Based Health Care Act
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35 Pa. Cons. Stat. § 10227.111. Community-Based Health Care Program: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Establishes the Community-Based Health Care Program to expand and improve health care access and services, such as preventive care, chronic care and disease management, prenatal, obstetric, postpartum and newborn care, dental treatment, behavioral health and …
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35 Pa. Cons. Stat. § 10227.112. Powers and duties of department: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Describes the powers and duties of the department, including putting together an annual report assessing the impact of the program.
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35 Pa. Cons. Stat. § 10227.113. Hospital health clinics: Community-Based Health Care Act – Pennsylvania
Status: Enacted Year Enacted: 2013
Describes the department’s role in establishing hospital health clinics.
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