305 Ill. Comp. Stat. § 5/5-5.12a. Title XIX waiver; pharmacy assistance program: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2001
The Illinois Department may seek a waiver of otherwise applicable requirements of Title XIX of the federal Social Security Act1 in order to claim federal financial participation for a pharmacy assistance program for persons aged …
Download
305 Ill. Comp. Stat. § 5/5-5.14.5. Treatment; substance use disorder and mental health: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2019
Purpose of statute is to enhance Medicaid rates for substance use disorder treatment and mental health treatment in underserved communities through ensuring access to treatment in provider deserts.
Download
305 Ill. Comp. Stat. § 5/5-5.18. Diagnosis accompanying request for reimbursement: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1994
Physicians must submit a diagnosis of the recipient’s illness or other condition requiring services when submitting requests for repayment.
Download
305 Ill. Comp. Stat. § 5/5-5.19. Reimbursement request records: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1994
Reimbursement request records. The Illinois Department shall file all requests for reimbursement for medical services provided under this Article according to both (i) the name of the service provider and (ii) the name of the …
Download
305 Ill. Comp. Stat. § 5/5-5.25. Access to behavioral health and medical services: Medical Assistance – Illinois
Status: Enacted Year Enacted: 2007
In order to increase access to mental health providers, telehealth providers may be reimbursed via medicaid.
Download
305 Ill. Comp. Stat. § 5/5-5.8. Payment to Campus Facilities: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1986
Statute requires the Department of Healthcare and Family Services, the Department of Human Services, and the Department of Children and Family Services to develop jointly a rate methodology or methodologies for campus facilities.
Download
305 Ill. Comp. Stat. § 5/5-5e. Adjusted rates of reimbursement: Medical Assistance – Illinois
Status: Enacted Year Enacted: 1978
Payment standards for different types of facilities are set out in this section.
Download
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.
Download
305 Ill. Comp. Stat. §§ 5/14-1 through 5/14-13: Hospital Services Trust Fund – Illinois
Status: Enacted Year Enacted: 1991
The Department may, by rule, implement the All Patient Refined Diagnosis Related Groups (APR-DRG) payment system for inpatient services provided on or after July 1, 2013, in a manner consistent with the actions authorized in …
Download
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 …
Download
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 …
Download
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 …
Download
305 Ill. Comp. Stat. §§ 5/5A-1 through 5/5A-10: Hospital Provider Funding – Illinois
Status: Enacted Year Enacted: 1992
Statutes include definitions for Hospital Provider Funding and assessments of inpatient and outpatient services.
Download
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 …
Download
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 …
Download
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
Download