Article
Medical Assistance
- 305 ILCS 5/5-1— Declaration of purpose
- 305 ILCS 5/5-1.1— Definitions
- 305 ILCS 5/5-1.2— Recipient eligibility verification
- 305 ILCS 5/5-1.3— Payer of last resort
- 305 ILCS 5/5-1.4— Moratorium on eligibility expansions
- 305 ILCS 5/5-1.5— COVID-19 public health emergency
- 305 ILCS 5/5-1.6— Continuous eligibility; ex parte redeterminations
- 305 ILCS 5/5-2— Classes of persons eligible
- 305 ILCS 5/5-2.01— Medicaid accountability through transparency program
- 305 ILCS 5/5-2.1— Property transfers
- 305 ILCS 5/5-2.1a— Treatment of trust amounts
- 305 ILCS 5/5-2.1d— Retroactive eligibility
- 305 ILCS 5/5-2.2— Cooperation in establishing support obligation
- 305 ILCS 5/5-2.03— Presumptive eligibility
- 305 ILCS 5/5-2.3— Notice of rights concerning institutionalization
- 305 ILCS 5/5-2.4— (Repealed)
- 305 ILCS 5/5-2.05— Children with disabilities
- 305 ILCS 5/5-2.06— Payment rates; Children's Community-Based Health Care Centers
- 305 ILCS 5/5-2.06a— Medically fragile children; reimbursement for legally responsible family caregivers
- 305 ILCS 5/5-2.06b— Certified family health aide program for children and adults
- 305 ILCS 5/5-2.07— Use of Medicaid spend-down
- 305 ILCS 5/5-2.08— Spousal caregiver demonstration
- 305 ILCS 5/5-2.09— Enhanced federal medical assistance percentage
- 305 ILCS 5/5-2.10— Increased accountability for nursing facilities
- 305 ILCS 5/5-2a— Medicaid State Plan; eligibility determination status
- 305 ILCS 5/5-2b— Medically fragile and technology dependent children eligibility and program; provider reimbursement rates
- 305 ILCS 5/5-3— Residence
- 305 ILCS 5/5-4— Amount and nature of medical assistance
- 305 ILCS 5/5-4.1— Co-payments
- 305 ILCS 5/5-4.2— Ambulance services payments
- 305 ILCS 5/5-4.20— (Repealed)
- 305 ILCS 5/5-4.21— (Repealed)
- 305 ILCS 5/5-4.22— (Repealed)
- 305 ILCS 5/5-4.23— (Repealed)
- 305 ILCS 5/5-4.24— (Repealed)
- 305 ILCS 5/5-4.25— (Repealed)
- 305 ILCS 5/5-4.26— (Repealed)
- 305 ILCS 5/5-4.27— (Repealed)
- 305 ILCS 5/5-4.28— (Repealed)
- 305 ILCS 5/5-4.29— (Repealed)
- 305 ILCS 5/5-4.30— (Repealed)
- 305 ILCS 5/5-4.31— (Repealed)
- 305 ILCS 5/5-4.32— (Repealed)
- 305 ILCS 5/5-4.33— (Repealed)
- 305 ILCS 5/5-4.34— (Repealed)
- 305 ILCS 5/5-4.35— (Repealed)
- 305 ILCS 5/5-4.36— (Repealed)
- 305 ILCS 5/5-4.37— (Repealed)
- 305 ILCS 5/5-4.38— (Repealed)
- 305 ILCS 5/5-4.39— (Repealed)
- 305 ILCS 5/5-5— Medical services
- 305 ILCS 5/5-5.01— 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
- 305 ILCS 5/5-5.1— Grouping of facilities
- 305 ILCS 5/5-5.01a— Supportive living facilities program
- 305 ILCS 5/5-5.01b— Certified Nursing Assistant Intern Program
- 305 ILCS 5/5-5.02— Hospital reimbursements
- 305 ILCS 5/5-5.2— Payment
- 305 ILCS 5/5-5.03— Trauma center adjustment
- 305 ILCS 5/5-5.3— Conditions of Payment - Prospective Rates - Accounting Principles
- 305 ILCS 5/5-5.04— Persons living with HIV/AIDS
- 305 ILCS 5/5-5.4— Standards of payment; Department of Healthcare and Family Services
- 305 ILCS 5/5-5.4a— (Repealed)
- 305 ILCS 5/5-5.4b— Publicly owned or publicly operated nursing facilities
- 305 ILCS 5/5-5.4c— (Repealed)
- 305 ILCS 5/5-5.4d— MDS payment methodology; quarterly rate adjustments
- 305 ILCS 5/5-5.4e— Nursing facilities; ventilator rates
- 305 ILCS 5/5-5.4f— Intermediate care facilities for persons with developmental disabilities quality workforce initiative
- 305 ILCS 5/5-5.4g— Minimum Data Set (MDS) Compliance Review; preliminary findings
- 305 ILCS 5/5-5.4h— Medicaid reimbursement for medically complex for the developmentally disabled facilities licensed under the MC/DD Act
- 305 ILCS 5/5-5.4i— Rates and reimbursements
- 305 ILCS 5/5-5.4j— ID/DD targeted Medicaid rate enhancement
- 305 ILCS 5/5-5.4k— Payments for long-acting injectable medications for mental health or substance use disorders
- 305 ILCS 5/5-5.05— Hospitals; psychiatric services
- 305 ILCS 5/5-5.5— Elements of Payment Rate
- 305 ILCS 5/5-5.05a— Reimbursement rates; community mental health centers
- 305 ILCS 5/5-5.5a— Kosher kitchen and food service
- 305 ILCS 5/5-5.05b— Access to psychiatric treatment
- 305 ILCS 5/5-5.05c— Access to physician services
- 305 ILCS 5/5-5.05d— Academic detailing for behavioral health providers
- 305 ILCS 5/5-5.05e— Tracking availability of beds for withdrawal management services
- 305 ILCS 5/5-5.05f— Medicaid coverage for peer recovery support services
- 305 ILCS 5/5-5.05g— (Repealed)
- 305 ILCS 5/5-5.05h— Reimbursement rates for psychiatric evaluations and medication monitoring
- 305 ILCS 5/5-5.06— Dental home initiative
- 305 ILCS 5/5-5.6— Federal Requirements
- 305 ILCS 5/5-5.06a— Increased funding for dental services
- 305 ILCS 5/5-5.6a— (Repealed)
- 305 ILCS 5/5-5.06b— Dental services
- 305 ILCS 5/5-5.6b— Prohibition against double payment
- 305 ILCS 5/5-5.06c— Access to prenatal and postpartum care
- 305 ILCS 5/5-5.06d— External cephalic version rate
- 305 ILCS 5/5-5.06e— Increased funding for dental services
- 305 ILCS 5/5-5.07— Inpatient psychiatric stay; DCFS per diem rate
- 305 ILCS 5/5-5.7— Cost reports - audits
- 305 ILCS 5/5-5.7a— Pandemic related stability payments for health care providers
- 305 ILCS 5/5-5.7b— Pandemic related stability payments to ambulance service providers in response to COVID-19
- 305 ILCS 5/5-5.08— Dialysis center funding
- 305 ILCS 5/5-5.8— Report on nursing home reimbursement
- 305 ILCS 5/5-5.08a— Renal dialysis; add-on payments for home dialysis providers in skilled nursing facilities
- 305 ILCS 5/5-5.8a— (Repealed)
- 305 ILCS 5/5-5.8b— Payment to Campus Facilities
- 305 ILCS 5/5-5.09— Mental health professionals; veterans
- 305 ILCS 5/5-5.09a— Screening for tardive dyskinesia
- 305 ILCS 5/5-5.10— Value-based purchasing
- 305 ILCS 5/5-5.11— (Repealed)
- 305 ILCS 5/5-5.12— Pharmacy payments
- 305 ILCS 5/5-5.12a— Title XIX waiver; pharmacy assistance program
- 305 ILCS 5/5-5.12b— Critical access care pharmacy program
- 305 ILCS 5/5-5.12c— Managed care organization uniform electronic prior authorization form; prescription benefits
- 305 ILCS 5/5-5.12d— Coverage for patient care services for contraceptives, human immunodeficiency virus pre-exposure prophylaxis, and human immunodeficiency virus post-exposure prophylaxis provided by a pharmacist
- 305 ILCS 5/5-5.12e— Managed care organization prior authorization of health care services
- 305 ILCS 5/5-5.12f— Prescription drugs for mental illness; no utilization or prior approval mandates
- 305 ILCS 5/5-5.13
- 305 ILCS 5/5-5.14— (Repealed)
- 305 ILCS 5/5-5.14.5— (Repealed)
- 305 ILCS 5/5-5.15— (Repealed)
- 305 ILCS 5/5-5.16— (Repealed)
- 305 ILCS 5/5-5.17— Separate reimbursement rate
- 305 ILCS 5/5-5.18— Diagnosis accompanying request for reimbursement
- 305 ILCS 5/5-5.19— Reimbursement request records
- 305 ILCS 5/5-5.20— Clinic payments
- 305 ILCS 5/5-5.21— (Repealed)
- 305 ILCS 5/5-5.22— (Repealed)
- 305 ILCS 5/5-5.23— Children's mental health services
- 305 ILCS 5/5-5.24— Prenatal and perinatal care
- 305 ILCS 5/5-5.24a— Remote ultrasounds and remote fetal nonstress tests; reimbursement
- 305 ILCS 5/5-5.24b— Coverage for at-home pregnancy tests
- 305 ILCS 5/5-5.25— Access to behavioral health, medical, and epilepsy treatment services
- 305 ILCS 5/5-5.26— Multiple sclerosis; home services; waiver
- 305 ILCS 5/5-5.27— Coverage for clinical trials
- 305 ILCS 5/5-5.28— Rulemaking authority
- 305 ILCS 5/5-5a— Waiver for home and community-based services
- 305 ILCS 5/5-5a.1— Telehealth services for persons with intellectual and developmental disabilities
- 305 ILCS 5/5-5b— Payment Reductions
- 305 ILCS 5/5-5b.1— Reimbursement rates; Fiscal Year 2015 reductions
- 305 ILCS 5/5-5c— Waiver for home and community-based services for traumatic brain injury (TBI) patients
- 305 ILCS 5/5-5d— Enhanced transition and follow-up services
- 305 ILCS 5/5-5e— Adjusted rates of reimbursement
- 305 ILCS 5/5-5e.1— Safety-Net Hospitals
- 305 ILCS 5/5-5e.2— Academic medical centers and major teaching hospital status
- 305 ILCS 5/5-5f— Elimination and limitations of medical assistance services
- 305 ILCS 5/5-5g— Long-term care patient; resident status
- 305 ILCS 5/5-5h— Long-term acute care hospital base rates
- 305 ILCS 5/5-5i— Rate increase for speech, physical, and occupational therapy services
- 305 ILCS 5/5-6— Obligations incurred prior to death of a recipient
- 305 ILCS 5/5-7— (Repealed)
- 305 ILCS 5/5-8— Practitioners
- 305 ILCS 5/5-9— Choice of medical dispensers
- 305 ILCS 5/5-10— Entitlement to Social Services
- 305 ILCS 5/5-11— Co-operative arrangements; contracts with other State agencies, health care and rehabilitation organizations, and fiscal intermediaries
- 305 ILCS 5/5-11.1— Cooperative arrangements; contracts
- 305 ILCS 5/5-11a— Health Benefit Information Systems
- 305 ILCS 5/5-12— Funeral and burial
- 305 ILCS 5/5-13— Claim against estate of recipients
- 305 ILCS 5/5-13.1— Cost-effectiveness waiver, hardship waivers, and making information about waivers more accessible
- 305 ILCS 5/5-13.2— Notice of claim for payment or against estate
- 305 ILCS 5/5-13.5— (Repealed)
- 305 ILCS 5/5-14— Exemption for Townships
- 305 ILCS 5/5-15— (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
- 305 ILCS 5/5-15.5— Preventive physical examinations; demonstration program
- 305 ILCS 5/5-16— Managed Care
- 305 ILCS 5/5-16.1— Case Management Services
- 305 ILCS 5/5-16.2— Long range plan for case management
- 305 ILCS 5/5-16.3— (Repealed)
- 305 ILCS 5/5-16.4— (Repealed)
- 305 ILCS 5/5-16.5— Expedited payments
- 305 ILCS 5/5-16.6— Provider compliance with certain requirements
- 305 ILCS 5/5-16.7— Post-parturition care
- 305 ILCS 5/5-16.7a— Reimbursement for epidural anesthesia services
- 305 ILCS 5/5-16.8— Required health benefits
- 305 ILCS 5/5-16.8a— Rules concerning continuous glucose monitor coverage
- 305 ILCS 5/5-16.9— Access to obstetrical and gynecological care
- 305 ILCS 5/5-16.10— Managed care entities; marketing
- 305 ILCS 5/5-16.11— Uniform standards applied to managed care entities
- 305 ILCS 5/5-16.12— Managed Care Reform and Patient Rights Act
- 305 ILCS 5/5-16.13— (Repealed)
- 305 ILCS 5/5-17— Programs to improve access to hospital care
- 305 ILCS 5/5-18— (Repealed)
- 305 ILCS 5/5-18.3— Birth center; facility fee
- 305 ILCS 5/5-18.5— Perinatal doula and evidence-based home visiting services
- 305 ILCS 5/5-18.6— Doula policies; hospitals and birthing centers
- 305 ILCS 5/5-18.7— Standing recommendations
- 305 ILCS 5/5-18.10— Reimbursement for postpartum visits
- 305 ILCS 5/5-19— Healthy Kids Program
- 305 ILCS 5/5-20— Electronic health care card
- 305 ILCS 5/5-21— Immunization
- 305 ILCS 5/5-22— (Repealed)
- 305 ILCS 5/5-23— (Repealed)
- 305 ILCS 5/5-24— (Repealed)
- 305 ILCS 5/5-25— Pediatric asthma initiative
- 305 ILCS 5/5-26— Federal Family Opportunity Act
- 305 ILCS 5/5-27— (Repealed)
- 305 ILCS 5/5-28— Community transition resources
- 305 ILCS 5/5-29— Income Limits and Parental Responsibility
- 305 ILCS 5/5-30— Care coordination
- 305 ILCS 5/5-30.1— Managed care protections
- 305 ILCS 5/5-30.2— Monthly reports; managed care enrollment
- 305 ILCS 5/5-30.3— Empowering meaningful patient choice in Medicaid Managed Care
- 305 ILCS 5/5-30.4— Provider inquiry portal
- 305 ILCS 5/5-30.5— Managed care; automatic assignment
- 305 ILCS 5/5-30.6— Managed care organization contracts procurement requirement
- 305 ILCS 5/5-30.7— Encounter data guidelines; provider fee schedule
- 305 ILCS 5/5-30.8— Managed care organization rate transparency
- 305 ILCS 5/5-30.9— Disenrollment requirements; managed care organization
- 305 ILCS 5/5-30.10— Electronic report submission
- 305 ILCS 5/5-30.11— Treatment of autism spectrum disorder
- 305 ILCS 5/5-30.12— Managed care claim rejection and denial management
- 305 ILCS 5/5-30.13— Managed care reports; minority-owned and women-owned businesses
- 305 ILCS 5/5-30.14— Medicaid managed care organizations; preferred drug lists
- 305 ILCS 5/5-30.16— Medicaid Business Opportunity Commission
- 305 ILCS 5/5-30.17— Medicaid Managed Care Oversight Commission
- 305 ILCS 5/5-30.18— Service authorization program performance
- 305 ILCS 5/5-30a— Exemptions from managed care enrollment; children
- 305 ILCS 5/5-30b— Exemptions from managed care; ground ambulance services
- 305 ILCS 5/5-30d— Increased funding for transportation services
- 305 ILCS 5/5-31— (Repealed)
- 305 ILCS 5/5-32— (Repealed)
- 305 ILCS 5/5-33— (Repealed)
- 305 ILCS 5/5-34— (Repealed)
- 305 ILCS 5/5-35— Personal needs allowance
- 305 ILCS 5/5-35.5— Personal needs allowance; nursing home residents
- 305 ILCS 5/5-36— Pharmacy benefits
- 305 ILCS 5/5-36.1— Earned income for residents of community-integrated living arrangements
- 305 ILCS 5/5-36.5— Education on mental health and substance use treatment services for children and young adults
- 305 ILCS 5/5-37— Billing mechanism for preventive mental health services delivered to children
- 305 ILCS 5/5-38— Alignment of children's mental health treatment systems
- 305 ILCS 5/5-39— Behavioral health services for children; diagnostic assessment system
- 305 ILCS 5/5-40— Human breast milk coverage
- 305 ILCS 5/5-41— Inpatient hospitalization for opioid-related overdose or withdrawal patients
- 305 ILCS 5/5-42— Tobacco cessation coverage; managed care
- 305 ILCS 5/5-43— Supports Waiver Program for Young Adults with Developmental Disabilities
- 305 ILCS 5/5-44— Screening, Brief Intervention, and Referral to Treatment
- 305 ILCS 5/5-45— Reimbursement rates; substance use disorder treatment providers and facilities
- 305 ILCS 5/5-46— General acute care hospitals
- 305 ILCS 5/5-47— Medicaid reimbursement rates; substance use disorder treatment providers and facilities
- 305 ILCS 5/5-48— Increasing behavioral health service capacity in federally qualified health centers
- 305 ILCS 5/5-49— Long-acting reversible contraception
- 305 ILCS 5/5-50— Coverage for mental health and substance use disorder telehealth services
- 305 ILCS 5/5-51— Proton beam therapy; managed care
- 305 ILCS 5/5-52— Custom prosthetic and orthotic devices; reimbursement rates
- 305 ILCS 5/5-53— Coverage for self-measure blood pressure monitoring services
- 305 ILCS 5/5-55— Reimbursement for music therapy services
- 305 ILCS 5/5-56— Coverage for hormonal therapy to treat menopause
- 305 ILCS 5/5-57— Genetic testing and evidence-based screenings for an inherited gene mutation
- 305 ILCS 5/5-58— Illinois Medicaid Preferred Drug List; nonopioid drugs
- 305 ILCS 5/5-60— Optometric services; reimbursement rates
- 305 ILCS 5/5-61— Advance payment reporting
- 305 ILCS 5/5-65— Reimbursement rates for long-term electrocardiogram monitoring