summary
Introduced
02/06/2026
02/06/2026
In Committee
02/10/2026
02/10/2026
Crossed Over
Passed
Dead
Introduced Session
104th General Assembly
Bill Summary
Amends the Medical Assistance Article of the Illinois Public Aid Code. Provides that beginning October 1, 2026, for rate year 2027 and thereafter, the Medicaid inpatient utilization rate, as defined and used in the determination of eligibility for specified inpatient adjustment payments to hospitals, shall be modified to exclude, from both the numerator and denominator, all days reimbursed by the Department of Human Services for mental health services provided under a specified provision of the Code of Criminal Procedure of 1963 as contracted by the Department of Healthcare and Family Services. Effective immediately.
AI Summary
This bill, effective immediately, amends the Illinois Public Aid Code to modify how the Medicaid inpatient utilization rate is calculated for certain hospital adjustment payments. Beginning October 1, 2026, for the 2027 rate year and subsequent years, the calculation of this rate will exclude days reimbursed by the Department of Human Services for mental health services provided under a specific section of the Code of Criminal Procedure of 1963, when those services are contracted by the Department of Healthcare and Family Services. The Medicaid inpatient utilization rate is a key factor in determining eligibility for specific inpatient adjustment payments to hospitals, and this change aims to refine that calculation by removing these particular mental health service days from both the total inpatient days and the Medicaid inpatient days used in the formula.
Sponsors (1)
Last Action
Referred to Rules Committee (on 02/10/2026)
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