reglab/housing_qa huggingface dataset:
305 ILCS 5/5C-1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-1)Sec. 5C-1. Definitions. As used in this Article, unless the context  requires otherwise:"Fund" means the Care Provider Fund for Persons with a Developmental Disability."Care facility for persons with a developmental disability" means an intermediate care  facility for the intellectually disabled within the meaning of Title XIX of the  Social Security Act, whether public or private and whether organized for  profit or not-for-profit, but shall not include any facility operated by  the State."Care provider for persons with a developmental disability" means a person conducting,  operating, or maintaining a facility for persons with a developmental disability.  For  this purpose, "person" means any political subdivision of the State,  municipal corporation, individual, firm, partnership, corporation, company,  limited liability company, association, joint stock association, or trust,  or a receiver, executor, trustee, guardian or other representative  appointed by order of any court."Adjusted gross developmentally disabled care revenue" shall be computed  separately for each facility for persons with a developmental disability conducted,  operated, or maintained by a care provider for persons with a developmental disability, and  means the total revenue of the care provider for persons with a developmental disability for  inpatient residential services less contractual allowances and discounts on  patients' accounts, but does not include non-patient revenue from sources  such as contributions, donations or bequests, investments, day training  services, television and telephone service, and rental of facility space."Long-term care facility for persons under 22 years of age serving clinically complex residents" means a facility licensed by the Department of Public Health as a long-term care facility for persons under 22 meeting the qualifications of Section 5-5.4h of this Code. (Source: P.A. 98-463, eff. 8-16-13; 98-651, eff. 6-16-14; 99-143, eff. 7-27-15.)
305 ILCS 5/5C-2
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-2)Sec. 5C-2. Assessment; no local authorization to tax.(a) For the privilege of engaging in the occupation of care provider for persons with a developmental disability, an assessment is imposed upon each care provider for persons with a developmental disability in an amount equal to 6%, or the maximum allowed under federal regulation, whichever is less, of its adjusted  gross developmentally disabled care revenue for the prior State fiscal  year. Notwithstanding any provision of any other Act to the contrary, this  assessment shall be construed as a tax, but may not be added to the charges  of an individual's nursing home care that is paid for in whole, or in part,  by a federal, State, or combined federal-state medical care program, except  those individuals receiving Medicare Part B benefits solely.(b) Nothing in this amendatory Act of 1995 shall be construed  to authorize any home rule unit or other unit of local government to license  for revenue or impose a tax or assessment upon a care provider for persons with a developmental disability or the occupation of care provider for persons with a developmental disability, or a tax  or assessment measured by the income or earnings of a care provider for persons with a developmental disability.(c) Effective July 1, 2013, for the privilege of engaging in the occupation of long-term care facility for persons under 22 years of age  serving clinically complex residents provider, an assessment is imposed upon each long-term care facility for persons under 22 years of age  serving clinically complex residents provider in the same amount and upon the same conditions and requirements as imposed in Article V-B of this Code and a license fee is imposed in the same amount and upon the same conditions and requirements as imposed in Article V-E of this Code. Notwithstanding any provision of any other Act to the contrary, the assessment and license fee imposed by this subsection (c) shall be construed as a tax, but may not be added to the charges of an individual's nursing home care that is paid for in whole, or in part, by a federal, State, or combined federal-State medical care program, except for those individuals receiving Medicare Part B benefits solely. (Source: P.A. 98-651, eff. 6-16-14; 99-143, eff. 7-27-15.)
305 ILCS 5/5C-3
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-3)Sec. 5C-3. Payment of assessment; penalty.(a) The assessment imposed by Section 5C-2 for a State  fiscal year shall be due and payable in quarterly installments,  each equalling one-fourth of the assessment for the year, on  September 30, December 31, March 31, and May 31 of the year.(b) The Illinois Department is authorized to establish  delayed payment schedules for care providers for persons with a developmental disability that are unable to make installment payments when due  under this Section due to financial difficulties, as determined  by the Illinois Department.(c) If a care provider for persons with a developmental disability fails to  pay the full amount of an installment when due (including any  extensions granted under subsection (b)), there shall, unless  waived by the Illinois Department for reasonable cause, be added  to the assessment imposed by Section 5C-2 for the State fiscal  year a penalty assessment equal to the lesser of (i) 5% of the  amount of the installment not paid on or before the due date plus  5% of the portion thereof remaining unpaid on the last day of  each month thereafter or (ii) 100% of the installment amount not  paid on or before the due date.  For purposes of this subsection,  payments will be credited first to unpaid installment amounts  (rather than to penalty or interest), beginning with the most  delinquent installments.  (Source: P.A. 99-143, eff. 7-27-15.)
305 ILCS 5/5C-5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-5)Sec. 5C-5. Disposition of proceeds. The Illinois Department  shall pay all moneys received from care providers for persons with a developmental disability under this Article into the Care  Provider Fund for Persons with a Developmental Disability.  Upon certification by the Illinois Department  to the State Comptroller of its intent to withhold from a  provider under Section 5C-6(b), the State Comptroller shall  draw a warrant on the treasury or other fund held by the State  Treasurer, as appropriate.  The warrant shall state the  amount for which the provider is entitled to a warrant, the  amount of the deduction, and the reason therefor and shall direct the  State Treasurer to pay the balance to the provider, all in  accordance with Section 10.05 of the State Comptroller Act.  The warrant  also shall direct the State Treasurer to transfer the amount of the  deduction so ordered from the treasury or other fund into the   Care Provider Fund for Persons with a Developmental Disability.  (Source: P.A. 98-463, eff. 8-16-13; 99-143, eff. 7-27-15.)
305 ILCS 5/5C-8
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-8)Sec. 5C-8. Applicability. The assessment imposed by Section 5C-2  shall cease to be imposed if the amount of matching federal funds  under Title XIX of the Social Security Act is eliminated or significantly  reduced on account of the assessment.  Assessments imposed prior  thereto shall be disbursed in accordance with Section 5C-7 to the  extent federal matching is not reduced by the assessments, and  any remaining assessments shall be refunded to care providers for persons with a developmental disability in proportion to the amounts paid by  them.  (Source: P.A. 99-143, eff. 7-27-15.)
305 ILCS 5/5C-9
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

 (from Ch. 23, par. 5C-9)Sec. 5C-9.     Severability.     If any clause, sentence, Section,  exemption, provision, or part of this Article or the application  thereof to any person or circumstance shall be adjudged to be  unconstitutional or otherwise invalid the remainder of this  Article or its application to persons or circumstances other than  those to which it is held invalid shall not be affected thereby.  This Article V-C is intended to be separate from and independent  of Articles V-A and V-B, and the application and validity of  this Article V-C shall not be affected by the invalidity of one or  more of Articles V-A and V-B.    (Source: P.A. 87-861.)
305 ILCS 5/5C-10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-C - Care Provider Funding For Persons With A Developmental Disability

(305 ILCS 5/5C-10)Sec. 5C-10. Adjustments. For long-term care facilities for persons under 22 years of age serving clinically complex residents previously classified as care facilities for persons with a developmental disability under this Article, the Department shall refund any amounts paid under this Article in State fiscal year 2014 by the end of State fiscal year 2015 with at least half the refund amount being made prior to December 31, 2014. The amounts refunded shall be based on amounts paid by the facilities to the Department as the  assessment under subsection (a) of Section 5C-2 less any assessment and license fee due for State fiscal year 2014.  (Source: P.A. 98-651, eff. 6-16-14; 99-143, eff. 7-27-15.)
305 ILCS 5/Art. V-D heading
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-D - Exemption of Rural Hospitals (Repealed)

 ARTICLE V-D.  EXEMPTION OF RURAL HOSPITALS (Repealed by  P.A. 93-659, eff. 2-3-04.)
305 ILCS 5/5D-1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-D - Exemption of Rural Hospitals (Repealed)

 (from Ch. 23, par. 5D-1)Sec. 5D-1.             (Repealed).(Source: P.A. 89-21, eff. 7-1-95. Repealed by  P.A. 93-659, eff. 2-3-04.)
305 ILCS 5/5D-2
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-D - Exemption of Rural Hospitals (Repealed)

(305 ILCS 5/5D-2) (from Ch. 23, par. 5D-2)Sec. 5D-2.         (Repealed).    (Source: P.A. 88-88. Repealed by  P.A. 93-659, eff. 2-3-04.)
305 ILCS 5/Art. V-E heading
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-E - Nursing Home License Fee

 ARTICLE V-E.      NURSING HOME LICENSE FEE
305 ILCS 5/5E-5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-E - Nursing Home License Fee

Sec. 5E-5. Definitions. As used in this Article, unless the  context requires otherwise:"Nursing home" means (i) a skilled nursing or intermediate long-term care  facility, whether public or private and whether organized for profit or  not-for-profit, that is subject to licensure by the Illinois Department  of Public Health under the Nursing Home Care Act, the ID/DD Community Care Act, or the MC/DD Act, including a  county nursing home directed and maintained under Section  5-1005 of the Counties Code, and (ii) a part of a hospital in  which skilled or intermediate long-term care services within the  meaning of Title XVIII or XIX of the Social Security Act are  provided; except that the term "nursing home" does not include a facility  operated solely as an intermediate care facility for the intellectually disabled  within the meaning of Title XIX of the Social Security Act or a specialized mental health rehabilitation facility."Nursing home provider" means (i) a person licensed  by the Department of Public Health to operate and maintain a  skilled nursing or intermediate long-term care facility which charges its  residents, a third party payor, Medicaid, or Medicare for skilled nursing or  intermediate long-term care services, or (ii) a hospital provider that  provides skilled or intermediate long-term care services within  the meaning of Title XVIII or XIX of the Social Security Act.  "Nursing home provider" does not include a person who operates or a provider who provides services within a specialized mental health rehabilitation facility. For purposes of this paragraph, "person" means any political  subdivision of the State, municipal corporation, individual,  firm, partnership, corporation, company, limited liability  company, association, joint stock association, or trust, or a  receiver, executor, trustee, guardian, or other representative  appointed by order of any court.  "Hospital provider" means a  person licensed by the Department of Public Health to conduct,  operate, or maintain a hospital."Licensed bed days" shall be computed separately for each nursing home  operated or maintained by a nursing home provider and means, with respect to a  nursing home provider, the sum for all nursing home beds of the number of days  during a calendar quarter on which each bed is covered by a license issued to  that provider under the Nursing Home Care Act or the Hospital Licensing Act.  (Source: P.A. 99-180, eff. 7-29-15.)
305 ILCS 5/5E-10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-E - Nursing Home License Fee

Sec. 5E-10.     Fee.     Every nursing home provider shall pay to the Illinois  Department, on or before September 10, December 10, March 10, and June 10, a  fee in the amount of $1.50 for each licensed nursing bed day for the calendar  quarter in which the payment is due.  This fee shall not be billed or passed on  to any resident of a nursing home operated by the nursing home provider.  All  fees received by the Illinois Department under this Section shall be deposited  into the Long-Term Care Provider Fund.    (Source: P.A. 88-88; 89-21, eff. 7-1-95.)
305 ILCS 5/5E-15
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-E - Nursing Home License Fee

(305 ILCS 5/5E-15)Sec. 5E-15.     Administration.     Sections 5B-4 through 5B-10 of this Code, to  the extent not contradicted by or inconsistent with any provision of this  Article, are incorporated and adopted by reference  as though fully set forth in this Article, except that wherever those Sections  refer to Section 5B-2 of this Code, that reference is intended to mean Section  5E-10 of this Code.    (Source: P.A. 88-85; 88-88.)
305 ILCS 5/Art. V-F heading
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

 ARTICLE V-F.  MEDICARE-MEDICAID ALIGNMENT INITIATIVE (MMAI) NURSING HOME RESIDENTS'  MANAGED CARE RIGHTS LAW  (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-1. Short title. This Article may be referred to as the  Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law.  (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-5. Findings. The General Assembly finds that elderly Illinoisans residing in a nursing home have the right to:(1) quality health care regardless of the payer;(2) receive medically necessary care prescribed by     their doctors;(3) a simple appeal process when care is denied; and(4) make decisions about their care and where they     receive it. (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-10. Scope. This Article applies to policies and contracts amended, delivered, issued, or renewed on or after the effective date of this amendatory Act of the 98th General Assembly for the nursing home component of the Medicare-Medicaid Alignment Initiative and the Managed Long-Term Services and Support Program. This Article does not diminish a managed care organization's duties and responsibilities under other federal or State laws or rules adopted under those laws and the 3-way Medicare-Medicaid Alignment Initiative contract and the Managed Long-Term Services and Support Program contract.  (Source: P.A. 98-651, eff. 6-16-14; 99-719, eff. 1-1-17.)
305 ILCS 5/5F-20
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-20. Network adequacy.(a) Every managed care organization shall allow every nursing home in its service area an opportunity to be a network contracted facility at the plan's standard terms, conditions, and rates.  Either party may opt to limit the contract to existing residents only.(b) With the exception of subsection (c) of this Section, a managed care organization shall only terminate or refuse to renew a contract with a nursing home if the nursing home fails to meet quality standards if the following conditions are met:(1)  the quality standards are made known to the     nursing home;(2)  the quality standards can be objectively     measured through data;(3)  the nursing home is measured on at least a     year's worth of performance;(4)  a nursing home that the MCO has determined did     not meet a quality standard has the opportunity to contest that determination by challenging the accuracy or the measurement of the data through an arbitration process agreed to by contract; and(5) the Department may attempt to mediate a dispute     prior to arbitration.(c) A managed care organization may terminate or refuse to renew a contract with a nursing home for a material breach of the contract, including, but not limited to, failure to grant reasonable and timely access to the MCO's care coordinators, SNFists and other providers, termination from the Medicare or Medicaid program, or revocation of license.  (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-25
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-25. Care coordination. Care coordination provided to all enrollees in the Demonstration Project shall conform to the following requirements:(1) care coordination services shall be     enrollee-driven and person-centered;(2) all enrollees in the Demonstration Project shall     have the right to receive health care services in the care setting of their choice, except as permitted by Part 4 of Article III of the Nursing Home Care Act with respect to involuntary transfers and discharges; and(3) decisions shall be based on the enrollee's best     interests. (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-30
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-30. Continuity of care. When a nursing home resident first transitions to a managed care organization from the fee-for-service system or from another managed care organization, the managed care organization shall honor the existing care plan and any necessary changes to that care plan until the MCO has completed a comprehensive assessment and new care plan, to the extent such services are covered benefits under the contract, which shall be consistent with the requirements of the RAI Manual.When an enrollee of a managed care organization is moving from a community setting to a nursing home, and the MCO is properly notified of the proposed admission by a network nursing home, and the managed care organization fails to participate in developing a care plan within the time frames required by nursing home regulations, the MCO must honor a care plan developed by the nursing home until the MCO has completed a comprehensive assessment and a new care plan to the extent such services are covered benefits under the contract, consistent with the requirements of the RAI Manual.A nursing home shall have the ability to refuse admission of an enrollee for whom care is required that the nursing home determines is outside the scope of its license and healthcare capabilities.  (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5F-31
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V-F - Medicare-Medicaid Alignment Initiative (MMAI) Nursing Home Residents' Managed Care Rights Law

Sec. 5F-31. Patient credit files; denials of claims. To reduce the number of claim denials resulting from coverage plan errors, the Department shall provide each nursing home enrolled in one or more Medicaid managed care networks with the corresponding patient credit file at the same time the Department provides the files to the managed care organization.  (Source: P.A. 100-1085, eff. 1-1-19.)