reglab/housing_qa huggingface dataset:
305 ILCS 5/5-2.06
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-2.06. Payment rates; Children's Community-Based Health Care Centers. Beginning January 1, 2020, the Department shall, for eligible individuals, reimburse  Children's Community-Based Health Care Centers established in the Alternative Health Care Delivery Act and providing  nursing care for the purpose of transitioning children from a hospital to home placement or other appropriate setting and reuniting families for a maximum of up to 120 days on a per diem basis at the lower of the Children's Community-Based Health Care Center's usual and customary charge to the public or at the Department rate of $950. Payments at the rate set forth in this Section are exempt from the 2.7% rate reduction required under Section 5-5e.  (Source: P.A. 101-10, eff. 6-5-19.)
305 ILCS 5/5-2.09
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-2.09. Enhanced federal medical assistance percentage. In accordance with Section 9817 of the American Rescue Plan Act of 2021 (Pub. L. 117-2) and corresponding federal guidance, the Department of Healthcare and Family Services shall take appropriate actions to claim an enhanced federal medical assistance percentage (FMAP) provided by Section 9817 of the American Rescue Plan Act of 2021 with respect to expenditures under the State medical assistance program for home and community-based services from April 1, 2021 through March 31, 2022.  The Department is authorized to use State funds equivalent to the amount of federal funds attributable to the increased federal medical assistance percentage under Section 9817 of the American Rescue Plan Act of 2021  to implement or supplement the implementation of activities to enhance, expand, or strengthen home and community based services under the State's medical assistance program to the extent permitted by and aligned with the goals of Section 9817 of the American Rescue Plan Act of 2021 through March 31, 2024 or any revised deadline established by the federal government. The use of such funds is subject to compliance with applicable federal requirements and federal approval, including the approval of any necessary State Plan Amendments, Waiver Amendments, or other federally required documents or assurances.The Department may adopt rules as necessary, including emergency rules as authorized by Section 5-45 of the Illinois Administrative Procedure Act, to implement the provisions of this Section.  (Source: P.A. 102-16, eff. 6-17-21.)
305 ILCS 5/5-2.10
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-2.10. Increased accountability for nursing facilities. The Department shall develop a plan for the revitalization of nursing homes licensed under the Nursing Home Care Act and shall report to the Governor and the General Assembly on a recommended course of action, including, but not limited to, the following:(1) significantly increasing federal funds by     streamlining and raising the nursing home provider assessment on occupied beds;(2)improving payments through increased funding and     providing additional incentives for staffing, quality metrics and infection control measures; and(3)transitioning the methodologies for reimbursement     of nursing services as provided under this Article to the Patient Driven Payment Model (PDPM) developed by the federal Centers for Medicare and Medicaid Services.No later than September 30, 2021, the Department shall submit a report to the Governor and the General Assembly, which outlines the steps taken by the Department,  including discussions with interested stakeholders and industry representatives, and recommendations for further action by the General Assembly to provide for  accountability and to achieve the program objectives outlined in this Section, which shall require action by the General Assembly.  (Source: P.A. 102-16, eff. 6-17-21.)
305 ILCS 5/5-2a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 evaluate the feasibility of changing Illinois' Medicaid State Plan from 209(b) status to the federal 1634 eligibility  determination status for applicable individuals as provided in the Social Security Act. The report shall include a review of the current standard used by the Department, anticipated fiscal implications of converting to 1634 status, anticipated changes in caseloads resulting from a change to 1634 status, and any additional information deemed relevant by the Department to evaluate the feasibility of converting to 1634 status.  (Source: P.A. 97-173, eff. 7-22-11.)
305 ILCS 5/5-2b
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-2b. Medically fragile and technology dependent children eligibility and program. Notwithstanding any other provision of law except as provided in Section 5-30a, on and after September 1, 2012, subject to federal approval, medical assistance under this Article shall be available to children who qualify as persons with a disability, as defined under the federal Supplemental Security Income program and who are medically fragile and technology dependent. The program shall allow eligible children to receive the medical assistance provided under this Article in the community and must maximize, to the fullest extent permissible under federal law, federal reimbursement and family cost-sharing, including co-pays, premiums, or any other family contributions, except that the Department shall be permitted to incentivize the utilization of selected services through the use of cost-sharing adjustments. The Department shall establish the policies, procedures, standards, services, and criteria for this program by rule.  (Source: P.A. 100-990, eff. 1-1-19.)
305 ILCS 5/5-2.01
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 program under which the Director shall make available through the Department's public Internet website  information on medical claims reimbursed under the State's medical assistance program insofar as such information has been de-identified in accordance with regulations promulgated pursuant to the Illinois Health Insurance Portability and Accountability Act. In implementing the program, the Director shall ensure the following:(1) The information made so available shall be in a     format that is easily accessible, useable, and understandable to the public, including individuals interested in improving the quality of care provided to individuals eligible for items and services under this Article, researchers, health care providers, and individuals interested in reducing the prevalence of waste and fraud under this Article.(2) The information made so available shall be as     current as deemed practical by the Director and shall be updated at least once per calendar quarter.(3) The information made so available shall be     aggregated to a level to ensure patient confidentiality, but shall, to the extent feasible, allow for posting of information by provider or vendor name and county, number of individuals served, total patient visits, payment for bills submitted, average cost for bills submitted, adjustments to payments, and total amounts paid.(4) The Director periodically solicits comments from     a sampling of individuals who access the information through the program on how to best improve the utility of the program.(b) Use of contractor. For purposes of implementing the program under subsection (a) of this Section and ensuring the information made available through the program is periodically updated, the Director may select and enter into a contract with a public or private entity meeting the criteria and qualifications the Director determines appropriate.(c) Annual Reports. Not later than 12 months after the effective date of this amendatory Act of the 96th General Assembly and annually thereafter, the Director shall submit to the General Assembly a report on the status of the program authorized under subsection (a).  The report shall include details including, but not limited to, the estimated or actual costs of developing and maintaining the reporting system, the actual or potential benefit or adverse consequences associated with the system, and, if applicable, the extent to which information made available through the program is accessed and the extent to which comments received under paragraph (4) of subsection (a) of this Section were used to improve the utility of the program.  (Source: P.A. 96-941, eff. 6-25-10.)
305 ILCS 5/5-2.03
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 adult may be presumed eligible for medical assistance under this Code and the Department may not cover any service rendered to an adult unless the adult has completed an application for benefits, all required verifications have been received, and the Department or its designee has found the adult eligible for the date on which that service was provided. Nothing in this Section shall apply to pregnant women or to persons enrolled under the medical assistance program due to expansions approved by the federal government that are financed entirely by units of local government and federal matching funds.  (Source: P.A. 96-1501, eff. 1-25-11; 97-687, eff. 6-14-12.)
305 ILCS 5/5-2.05
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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  disabilities or children with severe mental illness or severe emotional disorders who  otherwise would not qualify for medical assistance under this Article due to  family income, home-based and community-based services instead of institutional  placement, as allowed under paragraph 7 of Section 5-2.(b) The Department of Healthcare and Family Services, in conjunction with the Department of  Human Services and the Division of Specialized Care for Children, University of  Illinois-Chicago, shall submit a bi-annual          report to the Governor and the General Assembly no  later than January 1 of every even-numbered year, beginning in 2008, regarding the status of existing services offered  under paragraph 7  of Section 5-2. This report shall include, but not be limited to, the following  information:(1) The number of persons who currently receive these     services.(2) The nature, scope, and cost of services.(3) The comparative cost of providing those services     in a hospital, skilled nursing facility, or intermediate care facility.(4) The funding sources for the provision of     services, including federal financial participation.(5) The qualifications, skills, and availability of     caregivers for children receiving services.(6) The number of children who have aged out of the     services offered under paragraph 7 of Section 5-2 during the 2 years immediately preceding the report.    (Source: P.A. 95-331, eff. 8-21-07; 95-622, eff. 9-17-07.)
305 ILCS 5/5-2.07
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 the Department of Healthcare and Family Services or its successor agency, persons described in item 2(a) of Section 5-2, who fail to qualify for basic maintenance under Article III of this Code on the basis of need because of excess income or assets, or both, may establish eligibility for medical assistance by paying the amount of their monthly spend-down under this Article (as described in 42 CFR 435.831) to the Department of Healthcare and Family Services or its successor agency or by having a third party pay that amount to the Department on their behalf. A person who uses Medicaid spend-down to qualify for medical assistance shall be provided up to 6 consecutive months to submit and have medical receipts and bills processed by the Department as evidence of payment of the person's monthly spend-down amount before becoming ineligible for medical assistance under this Section.   (Source: P.A. 102-74, eff. 7-9-21.)
305 ILCS 5/5-2.1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-2.1)Sec. 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 transfer of any legal or  equitable interests in real property or in personal property, whether vested,  contingent or inchoate, for less than fair market value. A person's interest in  real or personal property includes all income and assets to which the person is  entitled or to which the person would be entitled if the person had not taken  action to avoid receiving the interest.(b) (Blank).(c) (Blank).(d) (Blank).(e) (Blank).    (Source: P.A. 92-84, eff. 7-1-02.)
305 ILCS 5/5-2.1a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 of  trusts and similar legal instruments or devices established by a person in the  Illinois Department's determination of the person's eligibility for and the  amount of assistance provided under this Article.    (Source: P.A. 98-651, eff. 6-16-14.)
305 ILCS 5/5-2.1d
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 have been eligible for medical assistance at the time he or she received the services if he or she had applied, regardless of whether the individual is alive when the application for medical assistance is made.  In determining financial eligibility for medical assistance for retroactive months, the Department shall consider the amount of income and resources and exemptions available to a person as of the first day of each of the backdated months for which eligibility is sought.  (Source: P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-2.2
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-2.2)Sec. 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 with the requirements of Title XIX of the federal Social  Security Act, and the regulations duly promulgated thereunder, regarding  establishment and enforcement of the child or spousal support obligation  shall be ineligible for medical assistance and shall remain ineligible for  medical assistance for as long as the failure or refusal persists.In addition to any other definition of failure or refusal to comply  with the requirements of Title XIX of the federal Social Security Act, in  the case of failure to attend court hearings, the parent or other person  can show cooperation by attending a court hearing or, if a court hearing  cannot be scheduled within 30 days following the court hearing that was  missed, by signing a statement that the parent or other person is now  willing to cooperate in the child support enforcement process and will  appear at any later scheduled court date.  The parent or other person can  show cooperation by signing such a statement only once.  If failure to  attend the court hearing or other failure to cooperate results in the case  being dismissed, such a statement may be signed after 2 months.No denial or termination of medical assistance pursuant to this Section  shall commence during pregnancy of the parent or other person having  custody of the child or for 30 days after the termination of such pregnancy.   The termination of medical assistance may commence thereafter if the  Illinois Department determines that the failure or refusal to comply with  this Section persists.  Postponement of denial or termination of medical  assistance during pregnancy under this paragraph shall be effective only to  the extent it does not conflict with federal law or regulation.    (Source: P.A. 85-1155.)
305 ILCS 5/5-2.3
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 under this Article when the applicant or  recipient, or the spouse of the applicant or recipient, or a person for whom  the applicant or recipient is the primary caretaker, becomes an  institutionalized person.  The notice shall fully and completely inform the  institutionalized person (and that person's spouse or primary caretaker, if  applicable) of each individual's rights and obligations under this Code with  respect to that institutionalization.    (Source: P.A. 88-162.)
305 ILCS 5/5-2.4
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-2.4. (Repealed).        (Source: P.A. 95-248, eff. 8-17-07. Repealed by P.A. 97-48, eff. 6-28-11.)
305 ILCS 5/5-3
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-3)Sec. 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 for medical assistance.  A person who, while  temporarily in this State, suffers  injury or illness endangering his  life and health and necessitating emergency care, may also qualify.Temporary absence from the State shall not disqualify a person from  maintaining his eligibility under this Article.As used in this Section, "migrant worker" means any person residing  temporarily and employed in Illinois who moves seasonally  from one  place to another for the purpose of employment in agricultural  activities, including the planting, raising or harvesting of any  agricultural or horticultural commodities and the handling, packing or  processing of such commodities on the farm where produced or at the  point of first processing, in animal husbandry, or in other activities connected  with the care of animals.  Dependents of such person shall be  considered eligible if they are living with the person during his or her  temporary residence and employment in Illinois.In order to be eligible for medical assistance under this section,  each migrant worker shall show proof of citizenship or legal alien status.    (Source: P.A. 81-746.)
305 ILCS 5/5-4.1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-4.1)Sec. 5-4.1. Co-payments. The Department may by rule provide that recipients under any Article of this Code shall pay a federally approved fee as a co-payment for services. No   co-payment requirement can exist  for renal dialysis, radiation therapy, cancer chemotherapy, or insulin, and  other products necessary on a recurring basis, the absence of which would  be life threatening, or where co-payment expenditures for required services  and/or medications for chronic diseases that the Illinois Department shall  by rule designate shall cause an extensive financial burden on the  recipient, and provided no co-payment shall exist for emergency room  encounters which are for medical emergencies. The Department shall seek approval of a State plan amendment that allows pharmacies to refuse to dispense drugs in circumstances where the recipient does not pay the required co-payment. Co-payments may not exceed $10 for emergency room use for a non-emergency situation as defined by the Department by rule and subject to federal approval.   (Source: P.A. 101-209, eff. 8-5-19.)
305 ILCS 5/5-4.20
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.20. (Repealed).        (Source: P.A. 88-380. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.21
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.21. (Repealed).        (Source: P.A. 90-372, eff. 7-1-98. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.22
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.22. (Repealed).        (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.23
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.23. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.24
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.24. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.25
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.25. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.26
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.26. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.27
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.27. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.28
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.28. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.29
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.29. (Repealed).        (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.30
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.30. (Repealed).        (Source: P.A. 88-380. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.31
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.31. (Repealed).        (Source: P.A. 90-372, eff. 7-1-98. Repealed by P.A. 96-1530, eff. 2-16-11.)