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| | 97TH GENERAL ASSEMBLY
State of Illinois
2011 and 2012
HB3031 Introduced 2/23/2011, by Rep. Jim Durkin SYNOPSIS AS INTRODUCED:
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Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that the Department of Healthcare and Family Services shall require third-party providers that administer any portion of the medical assistance program to conduct, on a random sampling basis, an annual analysis of the enrollees under their authority. Requires all requests for proposals and associated third-party provider contracts issued by the Department to include a statement notifying third-party providers of this requirement. Effective immediately.
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| | A BILL FOR |
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| | HB3031 | | LRB097 06464 KTG 46546 b |
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| 1 | | AN ACT concerning public aid.
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| 2 | | Be it enacted by the People of the State of Illinois,
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| 3 | | represented in the General Assembly:
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| 4 | | Section 5. The Illinois Public Aid Code is amended by |
| 5 | | adding Section 5-16.6a as follows:
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| 6 | | (305 ILCS 5/5-16.6a new) |
| 7 | | Sec. 5-16.6a. Provider contracts; enrollee analysis. |
| 8 | | Beginning on the effective date of this amendatory Act of the |
| 9 | | 97th General Assembly, the Department shall require |
| 10 | | third-party providers that administer any portion of the |
| 11 | | medical assistance program to conduct, on a random sampling |
| 12 | | basis, an annual analysis of the enrollees under their |
| 13 | | authority. The analysis shall include a review for potential |
| 14 | | fraudulent actions or improvements to address wasteful |
| 15 | | spending. All requests for proposals and associated |
| 16 | | third-party provider contracts issued by the Department shall |
| 17 | | include a statement providing that an annual analysis conducted |
| 18 | | pursuant to this Section is required under the contract.
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| 19 | | Section 99. Effective date. This Act takes effect upon |
| 20 | | becoming law.
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