DHFS-EXPEDITED LONG-TERM CARE Senate SponsorsSen. John G. Mulroe-Dave Syverson-David Koehler-Patricia Van Pelt, Heather A. Steans-Iris Y. Martinez, Terry Link, Jennifer Bertino-Tarrant, Julie A. Morrison, Cristina Castro, Bill Cunningham, Mattie Hunter, Don Harmon, Wm. Sam McCann, Scott M. Bennett, Linda Holmes, Steve Stadelman, Omar Aquino, Andy Manar, Chris Nybo, William R. Haine, Daniel Biss, Melinda Bush, Neil Anderson and Thomas Cullerton House Sponsors(Rep. Jay Hoffman-Norine K. Hammond-Gregory Harris-Robyn Gabel-Patricia R. Bellock, Jerry Costello, II, Michelle Mussman, Michael Halpin, Thaddeus Jones, Natalie A. Manley, Kathleen Willis, Elizabeth Hernandez, Lawrence Walsh, Jr., William Davis, Silvana Tabares, Robert W. Pritchard, Thomas M. Bennett, Martin J. Moylan, Sam Yingling, Katie Stuart, Christine Winger, Tony McCombie, Sue Scherer, Emanuel Chris Welch, Tim Butler, David B. Reis, Sonya M. Harper, Jehan Gordon-Booth, LaToya Greenwood, Linda Chapa LaVia, Marcus C. Evans, Jr., Christian L. Mitchell, John Cavaletto, Daniel Swanson, Charles Meier, David Harris, Jaime M. Andrade, Jr., Joe Sosnowski and Michael P. McAuliffe) 8/2/2018SenatePublic Act . . . . . . . . . 100-0665 305 ILCS 5/5-5g new305 ILCS 5/11-5.4Amends the Illinois Public Aid Code. Requires long-term care providers to submit all changes in resident status, including, but not limited to, death, discharge, changes in patient credit, third party liability, and Medicare coverage to the Department of Healthcare and Family Services through the Medical Electronic Data Interchange System, the Recipient Eligibility Verification System, or the Electronic Data Interchange System under a specified schedule. Requires the Department and other agencies to establish an expedited long-term care eligibility determination and enrollment system. Requires the Director of Healthcare and Family Services, in coordination with the Secretary of Human Services and the Director of Aging, to hold meetings for provider associations representing facilities licensed under the Nursing Home Care Act and certified as supportive living programs. Provides that the meetings shall be held every 6 weeks until all backlogged cases have been adjudicated and the application process has been reduced to the federal timeframe. Contains provisions concerning a 45-day extension of the federal eligibility application processing deadline in suspected cases of fraud; the identification of applicants who had full Medicaid benefits in the community for 6 months or more immediately before entering the long-term care facility; reporting requirements; public-private partnerships aimed at redeploying caseworkers to targeted high-Medicaid facilities for the purpose of expediting initial Medicaid and long-term care benefits applications; the establishment of a Health Insurance Portability and Accountability Act compliant database; and other matters. Effective immediately.Senate Committee Amendment No. 1 Deletes reference to:305 ILCS 5/11-5.4Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Requires long-term care providers to submit all changes in resident status, including, but not limited to, death, discharge, changes in patient credit, third party liability, and Medicare coverage to the Department of Healthcare and Family Services through the Medical Electronic Data Interchange System, the Recipient Eligibility Verification System, or the Electronic Data Interchange System under a specified schedule. Effective immediately.Senate Floor Amendment No. 2 Adds reference to:305 ILCS 5/11-5.4Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Requires long-term care providers to submit all changes in resident status, including, but not limited to, death, discharge, changes in patient credit, third party liability, and Medicare coverage to the Department of Healthcare and Family Services through the Medical Electronic Data Interchange System, the Recipient Eligibility Verification System, or the Electronic Data Interchange System under a specified schedule. Requires the Department of Healthcare and Family Services to serve as the lead agency assuming primary responsibility for the full implementation of provisions concerning expedited long-term care eligibility determinations, renewals, enrollments, and payments, including the establishment and operation of the expedited long-term care system. Provides that beginning on June 29, 2018, provisional eligibility must be issued to any applicant who has not received a final eligibility determination on his or her application for Medicaid or Medicaid long-term care benefits or a notice of an opportunity for a hearing within the federally prescribed deadlines for the processing of such applications. Requires the Department to maintain the applicant's provisional Medicaid enrollment status until a final eligibility determination is approved or the applicant's appeal has been adjudicated and eligibility is denied. Provides that the Department or the managed care organization, if applicable, must reimburse providers for all services rendered during an applicant's provisional eligibility period. Requires the Department to adopt, by rule, policies and procedures to ensure prospective compliance with the federal deadlines for Medicaid and Medicaid long-term care benefits eligibility determinations. Sets forth certain standards and principles the policies must address, including: (i) a streamlined application and enrollment process; (ii) protocols to expedite the eligibility processing system for applicants meeting certain guidelines, regardless of the age of the application; (iii) the review of applications for long-term care benefits when there exists credible evidence that an applicant has transferred assets with the intent of defrauding the State; and other matters. Contains provisions concerning: (1) the adoption of policies and procedures to improve communication between long-term care benefits central office personnel, applicants, and facilities in which the applicants reside; the establishment of policies and procedures to improve accountability and provide for the expedited payment of services rendered; (3) the Department's investigation of public-private partnerships in use in Ohio, Michigan, and Minnesota that are aimed at redeploying caseworkers to targeted high-Medicaid facilities for the purpose of expediting initial Medicaid and Medicaid long-term care benefits applications, renewals, and all other things related to enrollment, reimbursement, and application processing; (4) provider association meetings; (5) presumptive eligibility of benefits; (6) the prioritization of processing applications on a last-in, first-out basis; and other matters. Effective immediately.House Committee Amendment No. 1 Adds reference to:305 ILCS 5/11-6from Ch. 23, par. 11-6Replaces everything after the enacting clause. Amends the Illinois Public Aid Code. Requires long-term care providers to submit all changes in resident status, including, but not limited to, death, discharge, changes in patient credit, third party liability, and Medicare coverage to the Department of Healthcare and Family Services through the Medical Electronic Data Interchange System, the Recipient Eligibility Verification System, or the Electronic Data Interchange System under a specified schedule. Requires the Department to serve as the lead agency assuming primary responsibility for the full implementation of provisions concerning expedited long-term care eligibility determinations and enrollments, including the establishment and operation of the expedited long-term care system. Requires the Department to adopt, by rule, policies and procedures to ensure prospective compliance with the federal deadlines for Medicaid and Medicaid long-term care benefits eligibility determinations. Provides that on or before January 1, 2019, a streamlined application and enrollment process shall be put in place which must include, but need not be limited to, provide training and step-by-step written instructions for caseworkers, applicants, and providers. Requires the Department to expedite the eligibility processing system for applicants meeting specified guidelines, regardless of the age of the application. Provides that, subject to federal approval, the Department must implement an ex parte renewal process for Medicaid-eligible individuals residing in long-term care facilities. Provides that the ex parte renewal process shall be fully operational by January 1, 2019. Requires the Department to use certain standards and distribution requirements for notification of missing supporting documents and information during all phases of the application process. Requires the Department to adopt policies and procedures to improve communication between long-term care benefits central office personnel, applicants and their representatives, and facilities in which the applicants reside. Provides that if an applicant is determined ineligible for any public assistance, the notice shall include a list of all missing supporting documents and information and the date the documents were requested. Grants the Department rulemaking authority. Makes other changes. Effective immediately.House Floor Amendment No. 2 Replaces everything after the enacting clause. Reinserts the provisions of House Amendment No. 1, but with the following changes: Removes language requiring the Department of Healthcare Family Services to serve as the lead agency assuming primary responsibility for the full implementation of expedited long-term care eligibility determinations and enrollments. Instead provides that the establishment of the expedited long-term care eligibility determination and enrollment system shall be a joint venture of the Departments of Human Services and Healthcare and Family Services and the Department on Aging. Provides that the streamlined application and enrollment process shall be put in place on or before July 1, 2019 (rather than on or before January 1, 2019). Removes language requiring the Department of Healthcare and Family Services to establish policies and procedures to ensure prospective compliance with certain federal deadlines for Medicaid and Medicaid long-term care benefits eligibility determinations. Provides that the State (rather than the Department of Healthcare and Family Services) must expedite the eligibility process for applicants meeting specified guidelines, regardless of the age of the application. Subjects the specified guidelines to federal approval. Provides that the ex parte renewal process for Medicaid-eligible individuals residing in long-term care facilities must be fully operational on or before January 1, 2019 (rather than by January 1, 2019). Provides that no local Department of Human Services office shall request submission of any document in hard copy. In provisions concerning decisions on applications for medical assistance, provides that "application" also refers to requests for admission approval to facilities licensed under the Nursing Home Care Act or to supportive living facilities authorized under the Code. Effective immediately.House Floor Amendment No. 4 Requires the Department of Human Services (rather than the Department of Healthcare and Family Services) to: (i) use certain standards and distribution requirements for notification of missing supporting documents and information during all phases of the application process; and (ii) adopt policies and procedures to improve communication between long-term care benefits central office personnel, applicants and their representatives, and facilities in which the applicants reside. Provides that no Department of Human Services office (rather than no local Department of Human Services office) shall request submission of any document in hard copy. Removes language providing that if an applicant is determined ineligible for any public assistance, the notice shall include a list of all missing supporting documents and information and the date the documents were requested. 2/14/2018SenateFiled with Secretary by Sen. John G. Mulroe 2/14/2018SenateFirst Reading 2/14/2018SenateReferred to Assignments 2/15/2018SenateAdded as Chief Co-Sponsor Sen. David Koehler 2/28/2018SenateAdded as Chief Co-Sponsor Sen. Dave Syverson 3/1/2018SenateAssigned to Public Health 3/8/2018SenateAdded as Chief Co-Sponsor Sen. Patricia Van Pelt 3/8/2018SenateAdded as Co-Sponsor Sen. Heather A. Steans 3/9/2018SenateAdded as Chief Co-Sponsor Sen. Iris Y. Martinez 3/9/2018SenateAdded as Co-Sponsor Sen. Terry Link 3/9/2018SenateAdded as Co-Sponsor Sen. Jennifer Bertino-Tarrant 3/12/2018SenateAdded as Co-Sponsor Sen. Julie A. Morrison 3/12/2018SenateAdded as Co-Sponsor Sen. Cristina Castro 3/12/2018SenateAdded as Co-Sponsor Sen. Bill Cunningham 3/12/2018SenateAdded as Co-Sponsor Sen. Mattie Hunter 3/12/2018SenateAdded as Co-Sponsor Sen. Don Harmon 3/13/2018SenateSenate Committee Amendment No. 1 Filed with Secretary by Sen. John G. Mulroe 3/13/2018SenateSenate Committee Amendment No. 1 Referred to Assignments 3/13/2018SenateSenate Committee Amendment No. 1 Assignments Refers to Public Health 3/13/2018SenateAdded as Co-Sponsor Sen. Wm. Sam McCann 3/13/2018SenateSenate Committee Amendment No. 1 Adopted 3/14/2018SenateDo Pass as Amended Public Health; 008-000-000 3/14/2018SenatePlaced on Calendar Order of 2nd Reading April 10, 2018 3/16/2018SenateAdded as Co-Sponsor Sen. Scott M. Bennett 4/23/2018SenateSecond Reading 4/23/2018SenatePlaced on Calendar Order of 3rd Reading April 24, 2018 4/24/2018SenateSenate Floor Amendment No. 2 Filed with Secretary by Sen. John G. Mulroe 4/24/2018SenateSenate Floor Amendment No. 2 Referred to Assignments 4/24/2018SenateSenate Floor Amendment No. 2 Assignments Refers to Public Health 4/24/2018SenateSenate Floor Amendment No. 2 Recommend Do Adopt Public Health; 008-000-000 4/25/2018SenateAdded as Co-Sponsor Sen. Linda Holmes 4/27/2018SenateRule 2-10 Third Reading Deadline Established As May 3, 2018 5/2/2018SenateRecalled to Second Reading 5/2/2018SenateSenate Floor Amendment No. 2 Adopted; Mulroe 5/2/2018SenatePlaced on Calendar Order of 3rd Reading 5/2/2018SenateThird Reading - Passed; 051-000-000 5/3/2018HouseArrived in House 5/3/2018HouseChief House Sponsor Rep. Jay Hoffman 5/3/2018SenateAdded as Co-Sponsor Sen. Steve Stadelman 5/3/2018SenateAdded as Co-Sponsor Sen. Omar Aquino 5/3/2018HouseAdded Alternate Chief Co-Sponsor Rep. Norine K. Hammond 5/3/2018HouseAdded Alternate Chief Co-Sponsor Rep. Gregory Harris 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Jerry Costello, II 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Michelle Mussman 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Michael Halpin 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Thaddeus Jones 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Natalie A. Manley 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Kathleen Willis 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Elizabeth Hernandez 5/3/2018HouseAdded Alternate Co-Sponsor Rep. Lawrence Walsh, Jr. 5/3/2018HouseAdded Alternate Co-Sponsor Rep. William Davis 5/4/2018HouseAdded Alternate Co-Sponsor Rep. Silvana Tabares 5/8/2018HouseFirst Reading 5/8/2018HouseReferred to Rules Committee 5/8/2018HouseAssigned to Human Services Committee 5/8/2018HouseAdded Alternate Co-Sponsor Rep. Robert W. Pritchard 5/11/2018HouseAdded Alternate Co-Sponsor Rep. Thomas M. Bennett 5/14/2018HouseAdded Alternate Co-Sponsor Rep. Martin J. Moylan 5/15/2018HouseHouse Committee Amendment No. 1 Filed with Clerk by Rep. Jay Hoffman 5/15/2018HouseHouse Committee Amendment No. 1 Referred to Rules Committee 5/16/2018HouseHouse Committee Amendment No. 1 Rules Refers to Human Services Committee 5/16/2018HouseHouse Committee Amendment No. 1 Adopted in Human Services Committee; by Voice Vote 5/16/2018HouseDo Pass as Amended / Short Debate Human Services Committee; 012-000-000 5/17/2018HouseAdded Alternate Chief Co-Sponsor Rep. Robyn Gabel 5/17/2018HouseAdded Alternate Chief Co-Sponsor Rep. Patricia R. Bellock 5/17/2018HouseAdded Alternate Co-Sponsor Rep. Sam Yingling 5/17/2018HouseAdded Alternate Co-Sponsor Rep. Katie Stuart 5/17/2018SenateAdded as Co-Sponsor Sen. Andy Manar 5/17/2018HouseAdded Alternate Co-Sponsor Rep. Christine Winger 5/17/2018HouseAdded Alternate Co-Sponsor Rep. Tony McCombie 5/18/2018HousePlaced on Calendar 2nd Reading - Short Debate 5/21/2018HouseHouse Floor Amendment No. 2 Filed with Clerk by Rep. Jay Hoffman 5/21/2018HouseHouse Floor Amendment No. 2 Referred to Rules Committee 5/21/2018HouseSecond Reading - Short Debate 5/21/2018HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Sue Scherer 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Emanuel Chris Welch 5/22/2018HouseHouse Floor Amendment No. 2 Rules Refers to Human Services Committee 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Tim Butler 5/22/2018HouseAdded Alternate Co-Sponsor Rep. David B. Reis 5/22/2018HouseHouse Floor Amendment No. 3 Filed with Clerk by Rep. Jay Hoffman 5/22/2018HouseHouse Floor Amendment No. 3 Referred to Rules Committee 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Sonya M. Harper 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Jehan Gordon-Booth 5/22/2018HouseAdded Alternate Co-Sponsor Rep. LaToya Greenwood 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Linda Chapa LaVia 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Marcus C. Evans, Jr. 5/22/2018HouseAdded Alternate Co-Sponsor Rep. Christian L. Mitchell 5/23/2018HouseHouse Floor Amendment No. 4 Filed with Clerk by Rep. Jay Hoffman 5/23/2018HouseHouse Floor Amendment No. 4 Referred to Rules Committee 5/23/2018SenateAdded as Co-Sponsor Sen. Chris Nybo 5/23/2018SenateAdded as Co-Sponsor Sen. William R. Haine 5/23/2018SenateAdded as Co-Sponsor Sen. Daniel Biss 5/23/2018SenateAdded as Co-Sponsor Sen. Melinda Bush 5/23/2018HouseAdded Alternate Co-Sponsor Rep. John Cavaletto 5/23/2018HouseAdded Alternate Co-Sponsor Rep. Daniel Swanson 5/23/2018SenateAdded as Co-Sponsor Sen. Neil Anderson 5/23/2018SenateAdded as Co-Sponsor Sen. Thomas Cullerton 5/24/2018HouseHouse Floor Amendment No. 2 Recommends Be Adopted Human Services Committee; 011-000-000 5/24/2018HouseHouse Floor Amendment No. 4 Recommends Be Adopted Rules Committee; 004-000-000 5/24/2018HouseAdded Alternate Co-Sponsor Rep. Charles Meier 5/24/2018HouseAdded Alternate Co-Sponsor Rep. David Harris 5/24/2018HouseAdded Alternate Co-Sponsor Rep. Jaime M. Andrade, Jr. 5/24/2018HouseAdded Alternate Co-Sponsor Rep. Joe Sosnowski 5/24/2018HouseAdded Alternate Co-Sponsor Rep. Michael P. McAuliffe 5/25/2018HouseRecalled to Second Reading - Short Debate 5/25/2018HouseHouse Floor Amendment No. 2 Adopted 5/25/2018HouseHouse Floor Amendment No. 4 Adopted 5/25/2018HousePlaced on Calendar Order of 3rd Reading - Short Debate 5/25/2018HouseFinal Action Deadline Extended-9(b) May 31, 2018 5/30/2018HouseThird Reading - Short Debate - Passed 116-000-000 5/30/2018HouseHouse Floor Amendment No. 3 Tabled Pursuant to Rule 40 5/30/2018SenateSecretary's Desk - Concurrence House Amendment(s) 1, 2, 4 5/30/2018SenatePlaced on Calendar Order of Concurrence House Amendment(s) 1, 2, 4 - May 30, 2018 5/30/2018SenateHouse Committee Amendment No. 1 Motion to Concur Filed with Secretary Sen. John G. Mulroe 5/30/2018SenateHouse Committee Amendment No. 1 Motion to Concur Referred to Assignments 5/30/2018SenateHouse Floor Amendment No. 2 Motion to Concur Filed with Secretary Sen. John G. Mulroe 5/30/2018SenateHouse Floor Amendment No. 2 Motion to Concur Referred to Assignments 5/30/2018SenateHouse Floor Amendment No. 4 Motion to Concur Filed with Secretary Sen. John G. Mulroe 5/30/2018SenateHouse Floor Amendment No. 4 Motion to Concur Referred to Assignments 5/31/2018SenateHouse Committee Amendment No. 1 Motion to Concur Assignments Referred to Executive 5/31/2018SenateHouse Floor Amendment No. 2 Motion to Concur Assignments Referred to Executive 5/31/2018SenateHouse Floor Amendment No. 4 Motion to Concur Assignments Referred to Executive 5/31/2018SenateHouse Committee Amendment No. 1 Motion To Concur Recommended Do Adopt Executive; 014-000-000 5/31/2018SenateHouse Floor Amendment No. 2 Motion To Concur Recommended Do Adopt Executive; 014-000-000 5/31/2018SenateHouse Floor Amendment No. 4 Motion To Concur Recommended Do Adopt Executive; 014-000-000 5/31/2018SenateHouse Committee Amendment No. 1 Senate Concurs 054-000-000 5/31/2018SenateHouse Floor Amendment No. 2 Senate Concurs 054-000-000 5/31/2018SenateHouse Floor Amendment No. 4 Senate Concurs 054-000-000 5/31/2018SenateSenate Concurs 5/31/2018SenatePassed Both Houses 6/13/2018SenateSent to the Governor 8/2/2018SenateGovernor Approved 8/2/2018SenateEffective Date August 2, 2018 8/2/2018SenatePublic Act . . . . . . . . . 100-0665