reglab/housing_qa huggingface dataset:
305 ILCS 5/5-6
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-6)Sec. 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 Section 5-5, including medical and other  care in facilities as defined in the Nursing Home Care  Act, the Specialized Mental Health Rehabilitation Act of 2013, the ID/DD Community Care Act, or the MC/DD Act, or in like facilities  not required to be licensed under that Act, may be paid, subject to the  rules and regulations of the Illinois Department, after the death of the recipient.  (Source: P.A. 98-104, eff. 7-22-13; 99-180, eff. 7-29-15.)
305 ILCS 5/5-7
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-7)Sec. 5-7.     (Repealed).     (Source: P.A. 81-487.  Repealed by P.A. 93-20, eff. 6-20-03.)
305 ILCS 5/5-8
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-8)Sec. 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 1987, as amended, except as  hereafter in this Section stated, whether under a  general or limited license, (ii) persons licensed under the Nurse Practice Act as advanced practice registered nurses, regardless of whether or not the persons have written collaborative agreements, (iii) persons licensed or registered  under  other laws of this State to provide dental, medical, pharmaceutical,  optometric, podiatric, or nursing services, or other remedial care  recognized under State law, (iv) persons licensed under other laws of  this State as a clinical social worker, and (v) persons licensed under other laws of this State as  physician assistants. The Department shall adopt rules, no later than 90 days after January 1, 2017 (the effective date of Public Act 99-621), for the legally authorized services of persons licensed under other laws of this State as a clinical social worker.  The Department shall provide for the legally authorized services of persons licensed under the Professional Counselor and Clinical Professional Counselor Licensing and Practice Act as clinical professional counselors and for the legally  authorized services of persons licensed under the Marriage and  Family Therapy Licensing Act as marriage and family  therapists. The  utilization of the services of persons engaged in the treatment or care of  the sick, which persons are not required to be licensed or registered under  the laws of this State, is not prohibited by this Section.    (Source: P.A. 102-43, eff. 7-6-21.)
305 ILCS 5/5-9
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-9)Sec. 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 services meeting the  requirements and complying with the rules and regulations of the Illinois  Department. However, the Director of Healthcare and Family Services may, after providing  reasonable notice and opportunity for hearing, deny, suspend or terminate  any otherwise qualified person, firm, corporation, association, agency,  institution, or other legal entity, from participation as a vendor of goods  or services under the medical assistance program authorized by this Article  if the Director finds such vendor of medical services in violation of this  Act or the policy or rules and regulations issued pursuant to this Act.  (Source: P.A. 100-538, eff. 1-1-18.)
305 ILCS 5/5-10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-10)Sec. 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  rehabilitative, training or other social services as are appropriate to their  condition.    (Source: P.A. 92-651, eff. 7-11-02.)
305 ILCS 5/5-11.1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 vocational rehabilitation services to  maximize utilization of these services in the provision of medical assistance.The Illinois Department shall, not later than June 30, 1994, enter into  one or more cooperative arrangements with the Department of Mental Health  and Developmental Disabilities providing that the Department of Mental  Health and Developmental Disabilities will be responsible for administering  or supervising all programs for services to persons in community care  facilities for persons with mental illness, including but not limited to  intermediate care facilities, that are supported by State funds or by funding  under Title XIX of the federal Social Security Act.  The responsibilities of the Department of Mental Health and Developmental  Disabilities under these agreements are transferred to the Department of  Human Services as provided in the Department of Human Services Act.The Department may also contract with State health and rehabilitation  agencies and other public or private health care and rehabilitation  organizations to act for it in supplying designated medical services to persons  eligible under this Section.  Any contracts with health services or health  maintenance organizations shall be restricted to organizations which have been  certified as being in compliance with standards promulgated under the laws of  this State governing the establishment and operation of health services or  health maintenance organizations. The Department may also contract with  insurance companies or other corporate entities serving as fiscal  intermediaries in this State for the federal government in respect to Medicare  payments under Title XVIII of the federal Social Security Act to act for the  Department in paying medical care suppliers.  Nothing in this Section shall be  construed to abrogate any existing doctor/patient relationships with   Department of Healthcare and Family Services recipients or the free choice of clients or their  guardians to select a physician to provide medical care.  The provisions of  Section 9 of the State Finance Act notwithstanding, such contracts with State  agencies, other health care and rehabilitation organizations, or fiscal  intermediaries may provide for advance payments.       (Source: P.A. 95-331, eff. 8-21-07.)
305 ILCS 5/5-12
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-12)Sec. 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  insufficient to pay his funeral and burial expenses and if no other  resources, including assistance from legally responsible relatives, are  available for such purposes, there shall be paid, in accordance with the  standards, rules and regulations of the Illinois Department of Human  Services, such reasonable amounts as may be necessary to meet the costs of  the funeral, burial space, and cemetery charges, or to reimburse any person not  financially responsible for the deceased who has voluntarily made  expenditures for such costs.    (Source: P.A. 92-651, eff. 7-11-02.)
305 ILCS 5/5-13.2
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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, that (i) the institutionalized person, the  institutionalized person's spouse, or any other person is required under this  Code to reimburse the Illinois Department for any part of the amount of medical  assistance provided under this Article to or on behalf of the institutionalized  person or (ii) the institutionalized person's estate is liable for any amount  of medical assistance provided to or on behalf of the institutionalized person,  the Illinois Department shall not make any claim for payment of that amount on  demand, but rather shall establish, in cooperation with the institutionalized  person (and that person's spouse or primary caretaker, if applicable), a  schedule for payment of the amount owed to the Illinois Department.    (Source: P.A. 88-162; 88-670, eff. 12-2-94.)
305 ILCS 5/5-13.5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 or contingent, including legal and equitable rights and interests of the  recipient to coal, gas, oil, iron, and other underground mineral resources, for  medical assistance paid under this Article and for payments made to preserve  the lien, to the extent those liens are allowed under the federal Social  Security Act.  The lien shall attach to those interests owned or subsequently  acquired by persons who were recipients on or after the effective date of this  amendatory Act of 1993.  The liens shall be recorded and filed and are  otherwise subject to all the conditions of Sections 3-10.1 through 3-10.10 of  this Code.    (Source: P.A. 88-85; 88-670, eff. 12-2-94.)
305 ILCS 5/5-14
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-14)Sec. 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 who are not residents of the State of Illinois.In all instances under this Article where medical aid or assistance to  a person who is not a resident of this State would otherwise be in whole  or in part, the responsibility of a township, the Illinois Department shall  be responsible for such aid or assistance.The Illinois Department shall, by rule or regulation, insure that provision  of such aid or assistance to a non-resident is identical to the uniform  standard of eligibility established by the Illinois Department.    (Source: P.A. 81-519.)
305 ILCS 5/5-15
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-15)Sec. 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 the extent to which preventive  health programs can decrease utilization of medical care services and/or  improve health status.(b) As used in this Section (1) a community based organization is an  organization established as a not-for-profit corporation under laws of the  State of Illinois which serves a defined geographic community and is  governed by members of that community; and (2) a preventive health program  is any program, service or intervention the purpose of which is to  identify, resolve, or ameliorate problems which contribute to the  utilization of medical services.(c) The Illinois Department is authorized, for evaluation purposes, to  release names of recipients and other pertinent identification and medical  utilization information to the community organizations under contract.(d) Contractors shall maintain strict confidentiality of information  released by the Illinois Department by following guidelines established by  the Illinois Department, which shall require that recipients sign a release  for any further use or disclosure of such information.                (Source: P.A. 93-632, eff. 2-1-04.)
305 ILCS 5/5-15.5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 commencing on  January 1, 1994, for persons receiving assistance under Article IV of this  Code and persons eligible for assistance under this Article who are otherwise  eligible for assistance under Article IV but who fail to qualify for cash  assistance under Article IV on the basis of need.  Notwithstanding any other  provision of this Section, however, persons who are pregnant or who are less  than 21 years of age shall not be eligible to participate in the demonstration  program.  The demonstration program may be implemented for recipients in at  least 2 counties, one with a population of not more than 650,000 as determined  by the 1990 federal census, and one with a population of not more than 100,000  as determined by the 1990 federal census.  The Illinois Department may  establish by rule the nature and scope of the preventive physical examinations  required under this Section, except that the services may include, as  appropriate, blood pressure reading, complete blood test appropriate to the  population and risk factors, family planning, nutrition counselling, smoking  evaluation, temperature, urinalysis, chest x-ray, tuberculosis screening, and  appropriate referrals.(b) Participation in the demonstration program shall be voluntary, and  eligible recipients shall not be subject to sanctions for refusing or failing  to submit to a preventive physical examination or any portion of such an  examination.  The Illinois Department may by rule limit each eligible recipient  to one examination during the demonstration period.(c) For the purpose of carrying out its responsibilities under this Section,  the Illinois Department is authorized to enter into cooperative arrangements  with for-profit and non-profit medical clinics and hospitals, local health  departments, and other providers of medical services. The Illinois Department  of Public Health shall cooperate in the development and establishment of this  demonstration program. During the period of the demonstration program, the  Illinois Department of Public Aid shall study the cost benefit of providing  preventive physical examinations to the targeted group of recipients of public  aid.(d) Implementation of the demonstration program shall be contingent on the  receipt of all necessary federal waivers.    (Source: P.A. 88-396.)
305 ILCS 5/5-16.2
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 in Section 5-16.1 of this Act, throughout Illinois.  The  long range plan shall include:  (i) a geographic overview of the State and the  proportion, as determined by the Department of Public Aid and the Department of  Public Health records, of Medicaid eligible pregnant or parenting girls under  17 years of age at the time of the initial assessment;  (ii) identification of  high proportion areas; (iii) goals for reducing the likelihood of long-term  welfare dependency; (iv) the time frames for accomplishing the identified  goals; and (v) specific recommendations for administrative or legislative  policies and programs necessary to complete the identified goals.  The long  range plan shall take into consideration other resources currently serving the  identified population.  The long range plan shall be completed no later than  July 1, 1994, and provided to the Governor and the General Assembly in the form  of a written report.    (Source: P.A. 88-70.)
305 ILCS 5/5-16.3
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-16.3.     (Repealed).     (Source: P.A. 90-742, eff. 8-13-98. Repealed by P.A. 92-370, eff. 8-15-01.)
305 ILCS 5/5-16.4
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-16.4. (Repealed).        (Source: P.A. 95-331, eff. 8-21-07. Repealed by P.A. 99-933, eff. 1-27-17.)
305 ILCS 5/5-16.5
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 of its capitated  reimbursement for each of its managed care enrollees if both of the following  criteria are met:(1) At least 75% of its membership is composed of     hospitals that are qualified on or after July 1, 1994 as disproportionate share hospitals.(2) At least 75% of its managed care enrollees     receive services at the disproportionate share hospitals or those hospitals' affiliated sites.(c) For counties whose population is less than 3,000,000, the Illinois  Department shall establish by rule the terms and conditions under which a  managed care community network shall receive expedited payment, including a  determination of the qualifying percentage criteria for  disproportionate share hospitals and managed care enrollees  within a network receiving services at disproportionate share hospitals or  their affiliated sites.    (Source: P.A. 88-554, eff. 7-26-94; 89-21, eff. 7-1-95.)
305 ILCS 5/5-16.6
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 tax requirements, child support  payments in accordance with Article X of this Code, and educational loans  guaranteed by the Illinois State Scholarship Commission.  The Illinois  Department may suspend from participation in the medical assistance program,  after reasonable notice and opportunity for a hearing in accordance with  Section  12-4.25 of this Code, those providers not in compliance with  these  requirements, unless payment arrangements acceptable to the appropriate State  agency are made.    (Source: P.A. 90-655, eff. 7-30-98.)
305 ILCS 5/5-16.7
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 Section 356s of the  Illinois Insurance Code.On and after July 1, 2012, the Department shall reduce any rate of reimbursement for services or other payments or alter any methodologies authorized by this Code to reduce any rate of reimbursement for services or other payments in accordance with Section 5-5e. (Source: P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-16.7a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 for epidural  anesthesia services when ordered by the attending practitioner at the time of  delivery.On and after July 1, 2012, the Department shall reduce any rate of reimbursement for services or other payments or alter any methodologies authorized by this Code to reduce any rate of reimbursement for services or other payments in accordance with Section 5-5e. (Source: P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-16.9
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 adopt rules to implement the  requirements of Section 356r of the Illinois Insurance Code in the medical  assistance program including managed care components.On and after July 1, 2012, the Department shall reduce any rate of reimbursement for services or other payments or alter any methodologies authorized by this Code to reduce any rate of reimbursement for services or other payments in accordance with Section 5-5e. (Source: P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-16.10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 activities at an office of the Illinois  Department or a county department in order to enroll  recipients  in the entity's health  care  delivery system.  The Department shall adopt rules defining "marketing  activities" prohibited by this Section.Before a managed health care entity  providing services under this Article V  may market its health care delivery  system  to recipients,  the Illinois Department must approve a marketing plan submitted  by the entity to the Illinois Department. The Illinois Department shall adopt  guidelines for approving marketing plans submitted by managed health care  entities under this Section. Besides prohibiting door-to-door marketing  activities and marketing activities at public aid offices, the guidelines shall  include at least the following:(1) A managed health care entity may not offer or     provide any gift, favor, or other inducement in marketing its health care delivery system to integrated health care program enrollees. A managed health care entity may provide health care related items that are of nominal value and pre-approved by the Department to prospective enrollees. A managed health care entity may also provide to enrollees health care related items that have been pre-approved by the Department as an incentive to manage their health care appropriately.(2) All persons employed or otherwise engaged by a     managed health care entity to market the entity's health care delivery system to recipients or to supervise  that marketing shall register with the Illinois Department.The Inspector General appointed under Section 12-13.1 may conduct  investigations to determine whether the marketing practices of managed health  care entities  providing services under this Article V  comply with  the guidelines.    (Source: P.A. 90-538, eff. 12-1-97.)
305 ILCS 5/5-16.11
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 more restrictive than the Illinois Department's  pharmaceutical program.    (Source: P.A. 92-370, eff. 8-15-01.)