reglab/housing_qa huggingface dataset:
305 ILCS 5/5-4.32
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.32. (Repealed).        (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.33
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.33. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.34
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.34. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.35
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.35. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.36
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.36. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.37
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.37. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.38
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.38. (Repealed).        (Source: P.A. 87-13. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-4.39
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-4.39. (Repealed).        (Source: P.A. 87-861. Repealed by P.A. 96-1530, eff. 2-16-11.)
305 ILCS 5/5-5.01
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-5.01)Sec. 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 costs of diagnosis and treatment of Alzheimer's  disease.       (Source: P.A. 95-331, eff. 8-21-07.)
305 ILCS 5/5-5.03
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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) Systems Act, in  addition to any other payments made under this Code, the Illinois Department  shall make adjustment payments, in an amount calculated under subsection (b) of  this Section, to hospitals located in the State of Illinois that are recognized  as Level I trauma centers (adult or pediatric) and to certain Level II trauma  centers as determined by the Illinois Department.(b) Trauma center adjustment calculation.(1) The funds used to make trauma center adjustment     payments to qualifying trauma centers shall consist of:(A) At least 50% of the amount of moneys         deposited each State fiscal year into the Trauma Center Fund created in the State treasury; and(B) All federal matching funds received by the         Illinois Department as a result of expenditures made by the Illinois Department as required by this Section.(2) The trauma center adjustment payments shall be     made to qualifying trauma centers on a quarterly basis.  In determining the payment methodology for trauma center adjustment payments, the Illinois Department shall divide the available funds from the Trauma Center Fund for each quarter by the total number of the Medicaid trauma admissions as determined by the Illinois Department for the same quarter of the Trauma Center base year.  The result of that calculation shall be the amount of the quarterly trauma center adjustment payment to be paid to qualifying trauma centers.(3) Disbursements from the Trauma Center Fund shall     be by warrants drawn by the State Comptroller upon receipt of vouchers duly executed and certified by the Illinois Department.(4) Trauma center adjustment payments shall not be     treated as payments for hospital services under Title XIX of the Social Security Act for purposes of the calculation of the intergovernmental transfer provided for in Section 15-3(a) of the Code.(c) Definitions.  As used in this Section, unless the context requires  otherwise:"Trauma center adjustment year" means, beginning October 1, 1992, the 12  month period beginning on October 1 of the year and ending September 30 of  the following year."Trauma center base year" means State Fiscal Year 1991 for trauma center  adjustment payments calculated for the October 1, 1992 trauma center  adjustment year, State Fiscal Year 1992 for trauma center adjustment payments  calculated for the October 1, 1993 trauma center adjustment year, and so on  for each succeeding State Fiscal Year for trauma center adjustment payments  calculated for the trauma center adjustment year beginning October 1 of  that State Fiscal Year.    (Source: P.A. 87-1229.)
305 ILCS 5/5-5.04
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 of this Section is subject to appropriation.  (Source: P.A. 94-629, eff. 1-1-06.)
305 ILCS 5/5-5.4k
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.4k. Payments for long-acting injectable medications for mental health or substance use disorders. Notwithstanding any other provision of this Code, effective for dates of service on and after January 1, 2022, the medical assistance program shall separately reimburse at the prevailing fee schedule, for long-acting injectable medications administered for mental health or substance use disorder in the hospital inpatient setting, and which are compliant with the prior authorization requirements of this Section. The Department, in consultation with a statewide association representing a majority of hospitals and Managed Care Organizations  shall implement, by rule, reimbursement policy and prior authorization criteria for the use of long-acting injectable medications administered in the hospital inpatient setting for the treatment of mental health disorders.  (Source: P.A. 102-43, eff. 7-6-21.)
305 ILCS 5/5-5.05a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.05a. Reimbursement rates; community mental health centers. Notwithstanding the provisions of any other law,  reimbursement rates, including enhanced payment rates and rate  add-ons, for psychiatric and behavioral health services  provided in or by community mental health centers licensed or  certified by the Department of Human Services shall not be  lower than the rates for such services in effect on November 1,  2017. The Department of Healthcare and Family Services shall  apply for any waiver or State Plan amendment, if required, to  implement the reimbursement rates established in this Section.  Implementation of the reimbursement rates shall be contingent  on federal approval.  (Source: P.A. 100-587, eff. 6-4-18.)
305 ILCS 5/5-5.05b
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.05b. Access to psychiatric treatment. Effective July 1, 2019, or as soon thereafter as practical and subject to federal approval, the Department shall allocate an amount of up to $40,000,000 to enhance access psychiatric treatment, including both reimbursement rates to individual physicians board certified in psychiatry as well as community mental health centers and other relevant providers.  (Source: P.A. 101-10, eff. 6-5-19.)
305 ILCS 5/5-5.05c
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.05c. Access to physician services. The Department shall increase rates of reimbursement for physician services to as close to 60% of Medicare rates in effect as of January 1, 2020 utilizing the rates of Illinois Locality 99 facility rates.  (Source: P.A. 101-650, eff. 7-7-20.)
305 ILCS 5/5-5.06
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 the concept of a dental home for children covered under this Article.  Included in this dental home outreach should be an effort to ensure an ongoing relationship between the patient and the dentist with an effort to provide comprehensive, coordinated, oral health care so that all children covered under this Article have access to preventative and restorative oral health care.  (Source: P.A. 97-283, eff. 8-9-11.)
305 ILCS 5/5-5.06a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.06a. Increased funding for dental services. Beginning January 1, 2022, the amount allocated to fund rates for dental services provided to adults and children under the medical assistance program shall be increased by an approximate amount of $10,000,000.  (Source: P.A. 102-43, eff. 7-6-21.)
305 ILCS 5/5-5.06b
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.06b. Dental services. On and after July 1, 2021, dental services provided to adults and children under the medical assistance program may be established and paid at no less than the rates published by the Department and effective January 1, 2020 for all local health departments as the fee schedule for children and adult recipients but shall include the following dental procedures and amounts: D0140 $19.12, D0150 $24.84, D0220 $6.61, D0230 $4.48, D0272 $11.09, D0274 $19.94, D1110 $48.38, D2140 $36.40, D2150 $56.82, D2391 $36.40, D2392 $56.82, D5110 $444.09, D5120 $444.09, D7140 $46.16, D7210 $67.73.  (Source: P.A. 102-16, eff. 6-17-21.)
305 ILCS 5/5-5.07
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.07. Inpatient psychiatric stay; DCFS per diem rate. The Department of Children and Family Services shall pay the DCFS per diem rate for inpatient psychiatric stay at a free-standing psychiatric hospital or a hospital with a pediatric or adolescent inpatient psychiatric unit effective the 11th day when a child is in the hospital beyond medical necessity, and the parent or caregiver has denied the child access to the home and has refused or failed to make provisions for another living arrangement for the child or the child's discharge is being delayed due to a pending inquiry or investigation by the Department of Children and Family Services. If any portion of a hospital stay is reimbursed under this Section, the hospital stay shall not be eligible for payment under the provisions of Section 14-13 of this Code. This Section is inoperative on and after July 1, 2021. Notwithstanding the provision of Public Act 101-209 stating that this Section is inoperative on and  after July 1, 2020, this Section is operative from July 1, 2020 through July 1, 2023.  (Source: Reenacted by P.A. 101-15, eff. 6-14-19; reenacted by P.A. 101-209, eff. 8-5-19; P.A. 101-655, eff. 3-12-21; 102-201, eff. 7-30-21; 102-558, eff. 8-20-21.)
305 ILCS 5/5-5.08
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.08. Dialysis center funding. Notwithstanding any other provision of law, the add-on Medicaid payments to hospitals and freestanding chronic dialysis centers established under 89 Illinois Administrative Code 148.140(g)(4) for dates of service July 1, 2013 through June 30, 2015 is restored and in effect for dates of  service on and after July 1, 2015 with no end date for such payments.  (Source: P.A. 100-23, eff. 7-6-17.)
305 ILCS 5/5-5.1
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-5.1)Sec. 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  in grouping facilities may include, but are not limited to,  size, age, patient mix, percentage of Medicaid funded residents, or geographical area.The groupings developed under this Section shall be  considered in determining reasonable cost reimbursement  formulas.  However, this Section shall not preclude the  Department from recognizing and evaluating the cost of  capital on a facility-by-facility basis.A resident of a nursing facility whose application for long term care benefits is awaiting final action shall be included in the calculation as a Medicaid funded resident.(Source: P.A. 99-684, eff. 1-1-17.)
305 ILCS 5/5-5.3
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

 (from Ch. 23, par. 5-5.3)Sec. 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  rates for the care of recipients of medical assistance in   nursing facilities and ICF/DDs.   Such conditions shall assure a method under which the payment  for nursing facility and ICF/DD services provided  to recipients under the Medical Assistance Program shall be  on a reasonable cost related basis, which is prospectively  determined at least annually by the Department of Public Aid (now Healthcare and Family Services).  The annually established payment rate shall take effect on July 1 in 1984  and subsequent years.  There shall be no rate increase during calendar year  1983 and the first six months of calendar year 1984.The determination of the payment shall be made on the  basis of generally accepted accounting principles that  shall take into account the actual costs to the facility  of providing nursing facility and ICF/DD services  to recipients under the medical assistance program.The resultant total rate for a specified type of service  shall be an amount which shall have been determined to be  adequate to reimburse  allowable costs of a facility that  is economically and efficiently operated.  The Department  shall establish an effective date for each facility or group  of facilities after which rates shall be paid on a reasonable  cost related basis which shall be no sooner than the effective  date of this amendatory Act of 1977.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. 96-1530, eff. 2-16-11; 97-689, eff. 6-14-12.)
305 ILCS 5/5-5.4a
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.4a. (Repealed).        (Source: P.A. 96-1530, eff. 2-16-11. Repealed by P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-5.4b
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 operated by a county, a township,  a municipality, a hospital district, or any other local government in  Illinois.    (Source: P.A. 93-20, eff. 6-20-03.)
305 ILCS 5/5-5.4c
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.4c. (Repealed).        (Source: P.A. 95-331, eff. 8-21-07. Repealed by P.A. 97-689, eff. 6-14-12.)
305 ILCS 5/5-5.4d
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 medical assistance rate computed under the Minimum Data Set (MDS) payment methodology shall be calculated and adjusted quarterly.  The Department of Healthcare and Family Services may adopt rules necessary to implement this amendatory Act of the 96th General Assembly through the use of emergency rulemaking in accordance with Section 5-45 of the Illinois Administrative Procedure Act, except that the 24-month limitation on the adoption of emergency rules under Section 5-45 and the provisions of Sections 5-115 and 5-125 of that Act do not apply to rules adopted under this Section.  For purposes of that Act, the General Assembly finds that the adoption of rules to implement this amendatory Act of the 96th General Assembly is deemed an emergency and necessary for the public interest, safety, and welfare.(b) On April 1, 2011, the nursing component of the nursing facility medical assistance rate computed under the Minimum Data Set (MDS) payment methodology shall be frozen to allow the Department of Healthcare and Family Services to develop a rate methodology based on a federally mandated long term care data collection system. The rates in effect prior to and through the quarter ending March 31, 2011, shall continue to be subject to follow-up audits and retroactive rate adjustments pursuant to administrative rules of the Department for reviews of accuracy and resident assessment information. The reimbursement methodology for a Class I Institution for Mental Diseases shall also be frozen pending review of a federally mandated long term care data collection system. (Source: P.A. 96-743, eff. 8-25-09; 96-959, eff. 7-1-10.)
305 ILCS 5/5-5.4e
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 under this Article for the care of persons on ventilators in skilled nursing facilities licensed under the Nursing Home Care Act and certified to participate under the medical assistance program.  Accordingly, necessary amendments to the rules implementing the Minimum Data Set (MDS) payment methodology shall also be made to provide a separate per diem ventilator rate based on days of service.  The Department may adopt rules necessary to implement this amendatory Act of the 96th General Assembly through the use of emergency rulemaking in accordance with Section 5-45 of the Illinois Administrative Procedure Act, except that the 24-month limitation on the adoption of emergency rules under Section 5-45 and the provisions of Sections 5-115 and 5-125 of that Act do not apply to rules adopted under this Section.  For purposes of that Act, the General Assembly finds that the adoption of rules to implement this amendatory Act of the 96th General Assembly is deemed an emergency and necessary for the public interest, safety, and welfare.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. 96-743, eff. 8-25-09; 97-689, eff. 6-14-12.)
305 ILCS 5/5-5.4g
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 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 findings with nursing facilities prior to completion of the on-site review.  The procedure shall include, but not be limited to, notification to a nursing facility of specific areas of missing documentation required under 89 Ill. Adm. Code 147.75 and the federally mandated resident assessment instrument as specified in 42 CFR 483.20 likely to be determined deficient upon conclusion of the Department's quality assurance review process.   Prior to the conclusion of the on-site review, the facility shall be given the opportunity to address the specific areas of missing documentation. A facility disputing any rate change may submit an appeal request pursuant to provisions established at 89 Ill. Adm. Code 140.830.  An appeal hearing may be requested if the facility believes that the basis for reducing the facility's MDS rate was in error. The facility may not offer any additional documentation during the appeal hearing, but may identify documentation provided during the on-site review that may support a specific area of documentation deemed deficient by the Department.  (Source: P.A. 96-1317, eff. 7-27-10; 97-333, eff. 8-12-11.)
305 ILCS 5/5-5.4i
2021 Illinois Compiled Statutes|Chapter 305 - PUBLIC AID|305 ILCS 5/ - Illinois Public Aid Code.|Article V - Medical Assistance

Sec. 5-5.4i. Rates and reimbursements.(a) Within 30 days after July 6, 2017 (the effective date of Public Act 100-23), the Department shall increase rates and reimbursements to fund a minimum of a $0.75 per hour wage increase for front-line personnel, including, but not limited to, direct support persons, aides, front-line supervisors, qualified intellectual disabilities professionals, nurses, and non-administrative support staff working in community-based provider organizations serving individuals with developmental disabilities. The Department shall adopt rules, including emergency rules under subsection (y) of Section 5-45 of the Illinois Administrative Procedure Act, to implement the provisions of this Section.(b) Within 30 days after June 4, 2018 (the effective date of Public Act 100-587), the Department shall increase rates and reimbursements to fund a minimum of a $0.50 per hour wage increase for front-line personnel, including, but not limited to, direct support persons, aides, front-line supervisors, qualified intellectual disabilities professionals, nurses, and non-administrative support staff working in community-based provider organizations serving individuals with developmental disabilities. The Department shall adopt rules, including emergency rules under subsection (bb) of Section 5-45 of the Illinois Administrative Procedure Act, to implement the provisions of this Section.(c) Within 30 days after the effective date of this amendatory Act of the 101st General Assembly, subject to federal approval, the Department shall increase rates and reimbursements in effect on June 30, 2019 for community-based providers for persons with Developmental Disabilities by 3.5%. The Department shall adopt rules, including emergency rules under subsection (ii) of Section 5-45 of the Illinois Administrative Procedure Act, to implement the provisions of this Section, including wage increases for direct care staff.   (Source: P.A. 100-23, eff. 7-6-17; 100-587, eff. 6-4-18; 101-10, eff. 6-5-19.)