DHFS-LONG TERM CARE CLAIMS Senate SponsorsSen. John G. Mulroe House Sponsors(Rep. Daniel V. Beiser) 8/25/2017SenatePublic Act . . . . . . . . . 100-0449 305 ILCS 5/5-5from Ch. 23, par. 5-5Amends the Illinois Public Aid Code. Requires long term care facilities to submit admission documents through the Medical Electronic Data Interchange (MEDI) or the Recipient Eligibility Verification (REV) System or a successor system (rather than through the MEDI or REV or a successor system or directly to the Department of Human Services) within 15 days of the facility receiving required prescreening information. Requires prescreening information to be date stamped by the facility upon receipt. Provides that claims that are not submitted and received in compliance with the foregoing requirements shall not be eligible for payment under the medical assistance program, and the State shall have no liability for payment of those claims with one specified exception. Provides that the Department of Healthcare and Family Services shall waive one or more of the timeframes specified under the Code upon determining that services provided were medically necessary and provided in good faith, that failure to meet one or more of the timeframes was an error on the part of an individual employee, and that the withholding of reimbursement would constitute a financial hardship which would jeopardize the ability of the facility to pay its workers, provide for the basic needs of its residents, and ensure the highest quality of care.Senate Committee Amendment No. 1 Deletes reference to:305 ILCS 5/5-5Adds reference to:305 ILCS 5/11-5.4Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. In provisions requiring the Department of Human Services and the Department of Healthcare and Family Services to jointly compile data on pending applications, denials, appeals, and redeterminations of long-term care eligibility into a monthly report, provides that the report must contain information on the status of pending applications, denials, appeals, and redeterminations, including the number of pending applications and redeterminations denied for failure to submit the required documentation (rather than the status of pending applications, denials, appeals, and redeterminations). Effective immediately.House Floor Amendment No. 1 Deletes reference to:305 ILCS 5/11-5.4Adds reference to:305 ILCS 5/5-5from Ch. 23, par. 5-5Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Requires long term care facilities to submit new admissions with associated admission documents (rather than admission documents) through the Medical Electronic Data Interchange or the Recipient Eligibility Verification System or directly to the Department of Human Services within 45 calendar days (rather than 15 days) of the facility receiving required prescreening information. Removes a provision requiring long term care facilities to enter data for new admissions into the Medical Electronic Data Interchange or the Recipient Eligibility Verification System or successor system within 5 days of the facility receiving required prescreening information. 2/9/2017SenateFiled with Secretary by Sen. John G. Mulroe 2/9/2017SenateFirst Reading 2/9/2017SenateReferred to Assignments 2/22/2017SenateAssigned to Public Health 3/2/2017SenatePostponed - Public Health 3/8/2017SenatePostponed - Public Health 3/10/2017SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe 3/10/2017SenateSenate Committee Amendment No. 1 Referred to Assignments 3/14/2017SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health 3/17/2017SenateRule 2-10 Committee Deadline Established As April 7, 2017 3/29/2017SenatePostponed - Public Health 3/29/2017SenateSenate Committee Amendment No. 1 To Subcommittee on Long Term Care 4/4/2017SenateSenate Committee Amendment No. 1 Reported Back To Public Health; 003-000-000 4/4/2017SenateSenate Committee Amendment No. 1 Adopted 4/5/2017SenateDo Pass as Amended Public Health; 007-000-000 4/5/2017SenatePlaced on Calendar Order of 2nd Reading April 6, 2017 4/6/2017SenateSecond Reading 4/6/2017SenatePlaced on Calendar Order of 3rd Reading April 25, 2017 4/26/2017SenateThird Reading - Passed; 057-000-000 4/26/2017HouseArrived in House 4/26/2017HouseChief House Sponsor Rep. Daniel V. Beiser 4/26/2017HouseFirst Reading 4/26/2017HouseReferred to Rules Committee 5/3/2017HouseAssigned to Human Services Committee 5/10/2017HouseDo Pass / Short Debate Human Services Committee; 010-000-000 5/10/2017HousePlaced on Calendar 2nd Reading - Short Debate 5/11/2017HouseSecond Reading - Short Debate 5/11/2017HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/15/2017HouseHouse Floor Amendment No. 1 Filed with Clerk by Rep. Daniel V. Beiser 5/15/2017HouseHouse Floor Amendment No. 1 Referred to Rules Committee 5/17/2017HouseHouse Floor Amendment No. 1 Rules Refers to Human Services Committee 5/17/2017HouseHouse Floor Amendment No. 1 Recommends Be Adopted Human Services Committee; 011-000-000 5/19/2017HouseRecalled to Second Reading - Short Debate 5/19/2017HouseHouse Floor Amendment No. 1 Adopted 5/19/2017HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/24/2017HouseThird Reading - Short Debate - Passed 113-000-000 5/24/2017SenateSecretary's Desk - Concurrence House Amendment(s) 1 5/24/2017SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1 - May 25, 2017 5/24/2017SenateHouse Floor Amendment No. 1 Motion to Concur Filed with Secretary Sen. John G. Mulroe 5/24/2017SenateHouse Floor Amendment No. 1 Motion to Concur Referred to Assignments 5/25/2017SenateHouse Floor Amendment No. 1 Motion to Concur Assignments Referred to Public Health 5/30/2017SenateHouse Floor Amendment No. 1 Motion To Concur Recommended Do Adopt Public Health; 008-000-000 5/31/2017SenateHouse Floor Amendment No. 1 Senate Concurs 056-000-000 5/31/2017SenateSenate Concurs 5/31/2017SenatePassed Both Houses 6/29/2017SenateSent to the Governor 8/25/2017SenateGovernor Approved 8/25/2017SenateEffective Date January 1, 2018 8/25/2017SenatePublic Act . . . . . . . . . 100-0449