<?xml version='1.0' encoding='ISO-8859-1'?>
<xml>
<title>Illinois General Assembly - Bill Status for SB 1820         </title>
<shortdesc>DHFS-MCO-SAFETY-NET HOSPITAL</shortdesc>
<sponsor>
<sponsorhead1>Senate Sponsors</sponsorhead1><sponsors>Sen. Mattie Hunter</sponsors>
</sponsor>
<lastaction>
<statusdate>1/13/2021</statusdate><chamber>Senate</chamber><action>Session Sine Die</action>
</lastaction>
<synopsis>
<synopsistitle></synopsistitle>
<reference>305 ILCS 5/5-36 new</reference><aliasreference></aliasreference><SynopsisText>Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that a managed care organization that contracts with a safety-net hospitals shall: (i) be liable for 50% of the amount due on any unadjudicated claims properly submitted by the safety-net hospital; (ii) if pre-admission certification is required by the managed care organization prior to authorizing inpatient care, pay the full admission rate to any contracted safety-net hospital that does not receive such authorization within 24 hours after the safety-net hospital first made its request for authorization; (iii) update its provider roster within 48 hours of contracting with a safety-net hospital and pay the full amount on any claim properly submitted by a contracted safety-net hospital even if the managed care organization fails to update its provider roster as required; and (iv) equally share those costs incurred by a contracted safety-net hospital for services provided to a Medicaid enrollee beyond the enrollee's scheduled date of discharge or transfer to another facility, if the managed care organization fails to facilitate the enrollee's discharge or transfer by the scheduled date.</SynopsisText></synopsis>
<actions>
<statusdate>2/15/2019</statusdate><chamber>Senate</chamber><action>Filed with Secretary by Sen. Mattie Hunter</action>
<statusdate>2/15/2019</statusdate><chamber>Senate</chamber><action>First Reading</action>
<statusdate>2/15/2019</statusdate><chamber>Senate</chamber><action>Referred to Assignments</action>
<statusdate>2/27/2019</statusdate><chamber>Senate</chamber><action>Assigned to Special Committee on Oversight of Medicaid Managed Care</action>
<statusdate>3/22/2019</statusdate><chamber>Senate</chamber><action>Rule 2-10 Committee Deadline Established As March 28, 2019</action>
<statusdate>3/28/2019</statusdate><chamber>Senate</chamber><action>Rule 3-9(a) / Re-referred to Assignments</action>
<statusdate>1/13/2021</statusdate><chamber>Senate</chamber><action>Session Sine Die</action>
</actions>
</xml>

