SB 1703 (see companion bill HB 2730) – Illinois

Status: Inactive / Dead
Year Introduced: 2019

MEDICAID-MANAGED CARE APPEALS. Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a provider who has exhausted the written internal appeals process of a managed care organization (MCO) shall be entitled to an external independent third-party review of the MCO’s final decision that denies, in whole or in part, a health care service to an enrollee or a claim for reimbursement to a provider for a health care service rendered to an enrollee of the Medicaid managed care organization.

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