Illinois Compiled Statutes 305 Public Aid: Article V - Medical Assistance

• Illinois Public Aid Code. - 305 ILCS 5, Section 5-1
  Declaration of purpose. It is the purpose of this Article to provide a program of essential medical care and rehabilitative services for persons receiving...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-1.1
  Definitions. The terms defined in this Section shall have the meanings ascribed to them, except when the context otherwise requires. (a) "Nursing facility" means a...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-1.2
  Recipient eligibility verification. (a) The Illinois Department shall initiate a statewide system by which providers and sites of medical care can electronically verify recipient eligibility...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-1.3
  Payer of last resort. To the extent permissible under federal law, the State may pay for medical services only after payment from all other sources...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-1.4
  Moratorium on eligibility expansions. Beginning on January 25, 2011 (the effective date of Public Act 96-1501), there shall be a 4-year moratorium on the expansion...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2
  Classes of Persons Eligible. Medical assistance under this Article shall be available to any of the following classes of persons in respect to whom a...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2a
  Medicaid State Plan; eligibility determination status. The Department shall conduct an analysis and deliver a report to the General Assembly by January 1, 2012 to...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2b
  Medically fragile and technology dependent children eligibility and program. Notwithstanding any other provision of law, on and after September 1, 2012, subject to federal approval,...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.01
  Medicaid accountability through transparency program. (a) Internet-based transparency program. The Director of the Department of Healthcare and Family Services shall be authorized to implement a...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.03
  Presumptive eligibility. Beginning on the effective date of this amendatory Act of the 96th General Assembly and except where federal law requires presumptive eligibility, no...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.05
  Children with disabilities. (a) The Department of Healthcare and Family Services, in conjunction with the Department of Human Services, may offer, to children with developmental...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.07
  Use of Medicaid spend-down. No later than July 1, 2007, subject to federal approval of a State Medicaid Plan amendment, which shall be sought by...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.08
  Spousal caregiver demonstration. (a) The Department of Human Services, in consultation with the Department of Healthcare and Family Services, shall develop a demonstration project within...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.1
  Property transfers. (a) To the extent required under federal law, a person shall not make or have made a voluntary or involuntary assignment or...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.1a
  Treatment of trust amounts. To the extent required by federal law, the Department of Healthcare and Family Services shall provide by rule for the consideration...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.1d
  Retroactive eligibility. An applicant for medical assistance may be eligible for up to 3 months prior to the date of application if the person would...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.2
  Cooperation in establishing support obligation. A parent or other person having custody of the child or a spouse who fails or refuses to comply...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.3
  Notice of rights concerning institutionalization. The Illinois Department shall prepare a notice to be given to every applicant for and recipient of medical assistance...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-2.4
  (Repealed). (Source: P.A. 95-248, eff. 8-17-07. Repealed by P.A. 97-48, eff. 6-28-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-3
  Residence.) Any person who has established his residence in this State and lives therein, including any person who is a migrant worker, may qualify...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4
  Amount and nature of medical assistance. (a) The amount and nature of medical assistance shall be determined in accordance with the standards, rules, and regulations...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.1
  Co-payments. The Department may by rule provide that recipients under any Article of this Code shall pay a fee as a co-payment for services. Co-payments...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.2
  Ambulance services payments. (a) For ambulance services provided to a recipient of aid under this Article on or after January 1, 1993, the Illinois Department...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.20
  (Repealed). (Source: P.A. 88-380. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.21
  (Repealed). (Source: P.A. 90-372, eff. 7-1-98. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.22
  (Repealed). (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.23
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.24
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.25
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.26
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.27
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.28
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.29
  (Repealed). (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.30
  (Repealed). (Source: P.A. 88-380. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.31
  (Repealed). (Source: P.A. 90-372, eff. 7-1-98. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.32
  (Repealed). (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.33
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.34
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.35
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.36
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.37
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.38
  (Repealed). (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-4.39
  (Repealed). (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5
  Medical services. The Illinois Department, by rule, shall determine the quantity and quality of and the rate of reimbursement for the medical assistance for which...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.01
  The Department of Healthcare and Family Services may establish and implement a pilot project for determining the feasibility of authorizing medical assistance payments for the...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.01a
  Supportive living facilities program. The Department shall establish and provide oversight for a program of supportive living facilities that seek to promote resident independence, dignity,...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.02
  Hospital reimbursements. (a) Reimbursement to Hospitals; July 1, 1992 through September 30, 1992. Notwithstanding any other provisions of this Code or the Illinois Department's Rules...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.03
  Trauma center adjustment. (a) For inpatient admissions on or after October 1, 1992 for trauma injuries as defined in the Emergency Medical Services (EMS)...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.04
  Persons living with HIV/AIDS. The Department of Public Aid may seek federal approval to expand access to health care for persons living with HIV/AIDS. Implementation...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.05
  Hospitals; psychiatric services. (a) On and after July 1, 2008, the inpatient, per diem rate to be paid to a hospital for inpatient psychiatric services...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.06
  Dental home initiative. The Department, in cooperation with the dental community and other affected organizations such as Head Start, shall work to develop and promote...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.1
  Grouping of Facilities. The Department of Healthcare and Family Services shall, for purposes of payment, provide for groupings of nursing facilities. Factors to be considered...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.2
  Payment. (a) All nursing facilities that are grouped pursuant to Section 5-5.1 of this Act shall receive the same rate of payment for similar services....
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.3
  Conditions of Payment - Prospective Rates - Accounting Principles. This amendatory Act establishes certain conditions for the Department of Healthcare and Family Services in instituting...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4
  Standards of Payment - Department of Healthcare and Family Services. The Department of Healthcare and Family Services shall develop standards of payment of nursing facility...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4a
  (Repealed). (Source: P.A. 96-1530, eff. 2-16-11. Repealed by P.A. 97-689, eff. 6-14-12.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4b
  Publicly owned or publicly operated nursing facilities. The Illinois Department may by rule establish alternative reimbursement methodologies for nursing facilities that are owned or...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4c
  (Repealed). (Source: P.A. 95-331, eff. 8-21-07. Repealed by P.A. 97-689, eff. 6-14-12.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4d
  MDS payment methodology; quarterly rate adjustments. (a) On and after July 1, 2009, and until April 1, 2011, the nursing component of the nursing facility...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4e
  Nursing facilities; ventilator rates. On and after October 1, 2009, the Department of Healthcare and Family Services shall adopt rules to provide medical assistance reimbursement...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4f
  Intermediate care facilities for the developmentally disabled quality workforce initiative. (a) Legislative intent. Individuals with developmental disabilities who live in community-based settings rely on direct...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4g
  Minimum Data Set (MDS) Compliance Review; preliminary findings. The Department shall establish by rule a procedure for sharing preliminary Minimum Data Set (MDS) Compliance Review...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.4h
  Medicaid reimbursement for long-term care facilities for persons under 22 years of age. (a) Facilities licensed as long-term care facilities for persons under 22 years...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.5
  Elements of Payment Rate. (a) The Department of Healthcare and Family Services shall develop a prospective method for determining payment rates for nursing facility and...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.5a
  Kosher kitchen and food service. (a) The Department of Healthcare and Family Services may develop in its rate structure for nursing facilities an accommodation for...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.6
  Federal Requirements. All reimbursement rates established pursuant to this Act must be consistent with the criteria for nursing facility reimbursement established by the Federal...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.6a
  (Repealed). (Source: P.A. 85-1440. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.6b
  Prohibition against double payment. If any resident of a nursing facility or ICF/DD is admitted to such facility on the basis that the charges for...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.7
  Cost Reports - Audits. The Department of Healthcare and Family Services shall work with the Department of Public Health to use cost report information currently...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.8
  Report on nursing home reimbursement. The Illinois Department shall report annually to the General Assembly, no later than the first Monday in April of...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.8a
  (Repealed). (Source: P.A. 95-331, eff. 8-21-07. Repealed by P.A. 96-1123, eff. 1-1-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.8b
  Payment to Campus Facilities. There is hereby established a separate payment category for campus facilities. A "campus facility" is defined as an entity which consists...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.11
  (Repealed). (Source: P.A. 83-748. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.12
  Pharmacy payments. (a) Every request submitted by a pharmacy for reimbursement under this Article for prescription drugs provided to a recipient of aid under this...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.12a
  Title XIX waiver; pharmacy assistance program. The Illinois Department may seek a waiver of otherwise applicable requirements of Title XIX of the federal Social...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.13
  The Illinois Department shall establish procedures for the expedited review, for purposes of inclusion in the Illinois Public Aid formulary, of any drug for...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.14
  (Repealed). (Source: Repealed by P.A. 88-85.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.15
  (Repealed). (Source: P.A. 83-1509. Repealed by P.A. 96-1501, eff. 1-25-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.16
  (Repealed). (Source: P.A. 90-372, eff. 7-1-98. Repealed internally, eff. 7-1-98.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.17
  Separate reimbursement rate. The Illinois Department may by rule establish a separate reimbursement rate to be paid to long term care facilities for adult developmental...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.18
  Diagnosis accompanying request for reimbursement. Every request submitted by a physician for reimbursement under this Article for services provided to a recipient of aid...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.19
  Reimbursement request records. The Illinois Department shall file all requests for reimbursement for medical services provided under this Article according to both (i) the...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.20
  Clinic payments. For services provided by federally qualified health centers as defined in Section 1905 (l)(2)(B) of the federal Social Security Act, on or after...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.21
  (Repealed). (Source: P.A. 89-415, eff. 1-1-96. Repealed by P.A. 96-1530, eff. 2-16-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.22
  (Repealed). (Source: P.A. 92-725, eff. 7-25-02. Repealed by P.A. 94-838, eff. 6-6-06.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.23
  Children's mental health services. (a) The Department of Healthcare and Family Services, by rule, shall require the screening and assessment of a child prior to...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.24
  Prenatal and perinatal care. The Department of Healthcare and Family Services may provide reimbursement under this Article for all prenatal and perinatal health care services...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.25
  Access to psychiatric mental health services. The General Assembly finds that providing access to psychiatric mental health services in a timely manner will improve the...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5.26
  Multiple sclerosis; home services; waiver. The Department of Healthcare and Family Services shall apply for a waiver of federal law and regulations to the extent...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5a
  Waiver for home and community-based services. The Department shall apply for a waiver from the United States Health Care Financing Administration to allow payment...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5b
  Payment Reductions. (a) Notwithstanding any other Section in this Code establishing a methodology for determining payment rates or dispensing fees for non-institutional services provided...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5c
  (305 ILCS 5/5-5c) Sec. 5-5c. Waiver for home and community-based services for traumatic brain injury (TBI) patients. The Department shall apply for a waiver...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5d
  Enhanced transition and follow-up services. The Department of Healthcare and Family Services shall apply for any necessary waivers pursuant to Section 1915(c) of the Social...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5e
  Adjusted rates of reimbursement. (a) Rates or payments for services in effect on June 30, 2012 shall be adjusted and services shall be affected as...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5e.1
  Safety-Net Hospitals. (a) A Safety-Net Hospital is an Illinois hospital that: (1) is licensed by the Department of Public Health as a general acute care...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5e.2
  Academic medical centers and major teaching hospital status. (a) Hospitals dedicated to medical research and medical education shall be classified each State fiscal year in...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-5f
  Elimination and limitations of medical assistance services. Notwithstanding any other provision of this Code to the contrary, on and after July 1, 2012: (a) The...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-6
  Obligations incurred prior to death of a recipient. Obligations incurred but not paid for at the time of a recipient's death for services authorized under...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-7
  (Repealed). (Source: P.A. 81-487. Repealed by P.A. 93-20, eff. 6-20-03.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-8
  Practitioners. In supplying medical assistance, the Illinois Department may provide for the legally authorized services of (i) persons licensed under the Medical Practice Act of...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-9
  Choice of Medical Dispensers. Applicants and recipients shall be entitled to free choice of those qualified practitioners, hospitals, nursing homes, and other dispensers of medical...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-10
  Entitlement to Social Services. Persons receiving medical assistance shall be entitled to receive, under Article IX and the Illinois Act on the Aging, such...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-11
  Co-operative arrangements; contracts with other State agencies, health care and rehabilitation organizations, and fiscal intermediaries. (a) The Illinois Department may enter into co-operative arrangements with...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-11.1
  Cooperative arrangements; contracts. The Illinois Department may enter into cooperative arrangements with State agencies responsible for administering or supervising the administration of health services and...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-11a
  Health Benefit Information Systems. (a) It is the intent of the General Assembly to support unified electronic systems initiatives that will improve management of information...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-12
  Funeral and burial. Upon the death of a recipient who qualified under class 2, 3 or 4 of Section 5-2, if his estate is...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-13
  Claim against estate of recipients. To the extent permitted under the federal Social Security Act, the amount expended under this Article (1) for a person...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-13.2
  Notice of claim for payment or against estate. If the Illinois Department determines, more than 120 days after a person becomes an institutionalized person,...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-13.5
  Lien on real property interests. The State shall have a lien on all legal and equitable interests of recipients in real property, whether vested...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-14
  Exemption for Townships. Nothing in this Article shall be construed as requiring townships to provide, in whole or in part, medical assistance to persons...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-15
  (a) The Illinois Department is authorized to contract with community based organizations serving low income communities for a three year period to demonstrate how and...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-15.5
  Preventive physical examinations; demonstration program. (a) The Illinois Department may establish and implement a demonstration program of preventive physical examinations over a 3-year period...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16
  Managed Care. The Illinois Department may develop and implement a Primary Care Sponsor System consistent with the provisions of this Section. The purpose of...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.1
  Case Management Services. The Illinois Department may develop, implement and evaluate a Case Management Services Program which provides services consistent with the provisions of this...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.2
  Long range plan for case management. The Illinois Department shall develop a long range plan for the implementation of case management services, as defined...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.3
  (Repealed). (Source: P.A. 90-742, eff. 8-13-98. Repealed by P.A. 92-370, eff. 8-15-01.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.4
  Medical Assistance Provider Payment Fund. (a) There is created in the State treasury the Medical Assistance Provider Payment Fund. Interest earned by the Fund shall...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.5
  Expedited payments. (a) (Blank). (b) In a county with a population of 3,000,000 or more, a managed care community network shall receive expedited payment...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.6
  Provider compliance with certain requirements. The Illinois Department shall inquire of appropriate State agencies concerning the status of all providers' compliance with State income...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.7
  Post-parturition care. The medical assistance program shall provide the post-parturition care benefits required to be covered by a policy of accident and health insurance under...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.7a
  Reimbursement for epidural anesthesia services. In addition to other procedures authorized by the Department under this Code, the Department shall provide reimbursement to medical providers...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.8
  Required health benefits. The medical assistance program shall (i) provide the post-mastectomy care benefits required to be covered by a policy of accident and health...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.9
  Woman's health care provider. The medical assistance program is subject to the provisions of Section 356r of the Illinois Insurance Code. The Illinois Department shall...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.10
  Managed care entities; marketing. A managed health care entity providing services under this Article V may not engage in door-to-door marketing activities or marketing...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.11
  Uniform standards applied to managed care entities. Any managed care entity providing services under this Code shall use a pharmacy formulary that is no...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.12
  Managed Care Reform and Patient Rights Act. The medical assistance program and other programs administered by the Department are subject to the provisions of...
• Public Aid: Article V - Medical Assistance
  (Source: P.A. 93-674, eff. 6-10-04. Repealed internally, eff. 12-31-04.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-16.13
  (Repealed). (Source: P.A. 93-674, eff. 6-10-04. Repealed internally, eff. 12-31-04.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-17
  Programs to improve access to hospital care. (a) (1) The General Assembly finds: (A) That while hospitals have traditionally provided charitable care to indigent patients,...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-18
  (Repealed). (Source: P.A. 87-895. Repealed by P.A. 92-275, eff. 8-7-01.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-19
  Healthy Kids Program. (a) Any child under the age of 21 eligible to receive Medical Assistance from the Illinois Department under Article V of this...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-20
  Electronic health care card. By December 31, 1994, the Illinois Department may develop and implement by rule an electronic health information system to process claims...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-21
  Immunization. By July 1, 1994, the Illinois Department shall, in cooperation with the Department of Public Health, establish and implement a pilot program that will...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-22
  (Repealed). (Source: P.A. 90-655, eff. 7-30-98. Repealed by P.A. 96-1123, eff. 1-1-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-23
  (Repealed). (Source: P.A. 92-581, eff. 6-26-02. Repealed internally, eff. 7-1-03.)
• Public Aid: Article V - Medical Assistance
  (Source: P.A. 97-689, eff. 6-14-12. Repealed internally, eff. 1-1-14.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-24
  (Repealed). (Source: P.A. 97-689, eff. 6-14-12. Repealed internally, eff. 1-1-14.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-25
  Pediatric asthma initiative. (a) During fiscal year 2006, the Department of Public Aid shall evaluate current standards of treatment of asthma for its beneficiaries. The...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-26
  Federal Family Opportunity Act. (a) As used in this Section, "the federal Act" means the federal Family Opportunity Act, enacted as part of the Deficit...
• Public Aid: Article V - Medical Assistance
  (Source: P.A. 96-1372, eff. 7-29-10. Repealed internally, eff. 1-1-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-27
  (Repealed). (Source: P.A. 96-1372, eff. 7-29-10. Repealed internally, eff. 1-1-11.)
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-28
  Community transition resources. The Department of Healthcare and Family Services, in collaboration with all relevant agencies, shall develop a Community Transition Plan to allow nursing...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-29
  Income Limits and Parental Responsibility. In light of the unprecedented fiscal crisis confronting the State, it is the intent of the General Assembly to explore...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-30
  Care coordination. (a) At least 50% of recipients eligible for comprehensive medical benefits in all medical assistance programs or other health benefit programs administered by...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-30.1
  Managed care protections. (a) As used in this Section: "Managed care organization" or "MCO" means any entity which contracts with the Department to provide services...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-31
  Medicaid Research and Education Support Fund. (a) There is created in the State treasury the Medicaid Research and Education Support Fund. Interest earned by the...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-32
  Medicaid research and education enhancement payments. (a) The Department shall make Medicaid enhancement payments to Tier I and Tier II academic medical centers as defined...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-33
  Personal needs allowance; ID/DD facility. During State fiscal year 2015 only and no later than January 1, 2015, the monthly personal needs allowance required under...
• Illinois Public Aid Code. - 305 ILCS 5, Section 5-34
  Personal needs allowance; CILA. During State fiscal year 2015 only and no later than January 1, 2015, the monthly personal needs allowance required under Section...

Last modified: February 18, 2015