§ 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 5/5-2a Medicaid State Plan; eligibility determination status
§ 305 ILCS 5/5-2b Medically fragile and technology dependent children eligibility and …
§ 305 ILCS 5/5-2.01 Medicaid accountability through transparency program
§ 305 ILCS 5/5-2.03 Presumptive eligibility
§ 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 5/5-2.07 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 5/5-2.1 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 5/5-2.3 Notice of rights concerning institutionalization
§ 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 5/5-5 Medical services
§ 305 ILCS 5/5-5.01 The Department of Healthcare and Family Services may establish and …
§ 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 5/5-5.03 Trauma center adjustment
§ 305 ILCS 5/5-5.04 Persons living with HIV/AIDS
§ 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 5/5-5.05a Reimbursement rates; community mental health centers
§ 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 Alignment of substance use prevention and recovery and mental health policy
§ 305 ILCS 5/5-5.06 Dental home initiative
§ 305 ILCS 5/5-5.06a Increased funding for dental services
§ 305 ILCS 5/5-5.06b Dental services
§ 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 5/5-5.08 Dialysis center funding
§ 305 ILCS 5/5-5.1 Grouping of facilities
§ 305 ILCS 5/5-5.2 Payment
§ 305 ILCS 5/5-5.3 Conditions of Payment – Prospective Rates – Accounting Principles
§ 305 ILCS 5/5-5.4 Standards of Payment – Department of Healthcare and Family Services
§ 305 ILCS 5/5-5.4b Publicly owned or publicly operated nursing facilities
§ 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 …
§ 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 …
§ 305 ILCS 5/5-5.4i Rates and reimbursements
§ 305 ILCS 5/5-5.4j ID/DD targeted Medicaid rate enhancement
§ 305 ILCS 5/5-5.5 Elements of Payment Rate
§ 305 ILCS 5/5-5.5a Kosher kitchen and food service
§ 305 ILCS 5/5-5.6 Federal Requirements
§ 305 ILCS 5/5-5.6b Prohibition against double payment
§ 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 5/5-5.8 Report on nursing home reimbursement
§ 305 ILCS 5/5-5.8b Payment to Campus Facilities
§ 305 ILCS 5/5-5.09 Mental health professionals; veterans
§ 305 ILCS 5/5-5.10 Value-based purchasing
§ 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 hormonal contraceptives, human …
§ 305 ILCS 5/5-5.12e Managed care organization prior authorization of health care services
§ 305 ILCS 5/5-5.13 The Illinois Department shall establish procedures for the expedited …
§ 305 ILCS 5/5-5.14.5 Treatment; substance use disorder and mental health
§ 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 5/5-5.23 Children’s mental health services
§ 305 ILCS 5/5-5.24 Prenatal and perinatal care
§ 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 5/5-5a 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 …
§ 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 5/5-8 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, …
§ 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 5/5-13.1 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 5/5-14 Exemption for Townships
§ 305 ILCS 5/5-15 (a) The Illinois Department is authorized to contract with community …
§ 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 5/5-16.5 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.In addition to other …
§ 305 ILCS 5/5-16.8 Required health benefits
§ 305 ILCS 5/5-16.9 Woman’s health care provider
§ 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 5/5-17 Programs to improve access to hospital care
§ 305 ILCS 5/5-18.5 Perinatal doula and evidence-based home visiting services
§ 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 5/5-25 Pediatric asthma initiative
§ 305 ILCS 5/5-26 Federal Family Opportunity Act
§ 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 5/5-30a 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 Medicaid Research and Education Support Fund
§ 305 ILCS 5/5-32 Medicaid research and education enhancement payments
§ 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

Terms Used In Illinois Compiled Statutes > 305 ILCS 5 > Article V - Medical Assistance

  • Amendment: A proposal to alter the text of a pending bill or other measure by striking out some of it, by inserting new language, or both. Before an amendment becomes part of the measure, thelegislature must agree to it.
  • Annuity: A periodic (usually annual) payment of a fixed sum of money for either the life of the recipient or for a fixed number of years. A series of payments under a contract from an insurance company, a trust company, or an individual. Annuity payments are made at regular intervals over a period of more than one full year.
  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Appropriation: The provision of funds, through an annual appropriations act or a permanent law, for federal agencies to make payments out of the Treasury for specified purposes. The formal federal spending process consists of two sequential steps: authorization
  • Assets: (1) The property comprising the estate of a deceased person, or (2) the property in a trust account.
  • Attachment: A procedure by which a person's property is seized to pay judgments levied by the court.
  • Balanced budget: A budget in which receipts equal outlays.
  • Baseline: Projection of the receipts, outlays, and other budget amounts that would ensue in the future without any change in existing policy. Baseline projections are used to gauge the extent to which proposed legislation, if enacted into law, would alter current spending and revenue levels.
  • Beneficiary: A person who is entitled to receive the benefits or proceeds of a will, trust, insurance policy, retirement plan, annuity, or other contract. Source: OCC
  • Caucus: From the Algonquian Indian language, a caucus meant "to meet together." An informal organization of members of the legislature that exists to discuss issues of mutual concern and possibly to perform legislative research and policy planning for its members. There are regional, political or ideological, ethnic, and economic-based caucuses.
  • Chambers: A judge's office.
  • Charity: An agency, institution, or organization in existence and operating for the benefit of an indefinite number of persons and conducted for educational, religious, scientific, medical, or other beneficent purposes.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • decree: is synonymous with the word "judgment". See Illinois Compiled Statutes 5 ILCS 70/1.24
  • Dependent: A person dependent for support upon another.
  • Devise: To gift property by will.
  • Entitlement: A Federal program or provision of law that requires payments to any person or unit of government that meets the eligibility criteria established by law. Entitlements constitute a binding obligation on the part of the Federal Government, and eligible recipients have legal recourse if the obligation is not fulfilled. Social Security and veterans' compensation and pensions are examples of entitlement programs.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Fair market value: The price at which an asset would change hands in a transaction between a willing, informed buyer and a willing, informed seller.
  • Fiscal year: The fiscal year is the accounting period for the government. For the federal government, this begins on October 1 and ends on September 30. The fiscal year is designated by the calendar year in which it ends; for example, fiscal year 2006 begins on October 1, 2005 and ends on September 30, 2006.
  • Fraud: Intentional deception resulting in injury to another.
  • Freedom of Information Act: A federal law that mandates that all the records created and kept by federal agencies in the executive branch of government must be open for public inspection and copying. The only exceptions are those records that fall into one of nine exempted categories listed in the statute. Source: OCC
  • Gift: A voluntary transfer or conveyance of property without consideration, or for less than full and adequate consideration based on fair market value.
  • Grace period: The number of days you'll have to pay your bill for purchases in full without triggering a finance charge. Source: Federal Reserve
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • individual: shall include every infant member of the species homo sapiens who is born alive at any stage of development. See Illinois Compiled Statutes 5 ILCS 70/1.36
  • Interest rate: The amount paid by a borrower to a lender in exchange for the use of the lender's money for a certain period of time. Interest is paid on loans or on debt instruments, such as notes or bonds, either at regular intervals or as part of a lump sum payment when the issue matures. Source: OCC
  • Joint committee: Committees including membership from both houses of teh legislature. Joint committees are usually established with narrow jurisdictions and normally lack authority to report legislation.
  • Jurisdiction: (1) The legal authority of a court to hear and decide a case. Concurrent jurisdiction exists when two courts have simultaneous responsibility for the same case. (2) The geographic area over which the court has authority to decide cases.
  • Lease: A contract transferring the use of property or occupancy of land, space, structures, or equipment in consideration of a payment (e.g., rent). Source: OCC
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Minority leader: See Floor Leaders
  • Month: means a calendar month, and the word "year" a calendar year unless otherwise expressed; and the word "year" alone, is equivalent to the expression "year of our Lord. See Illinois Compiled Statutes 5 ILCS 70/1.10
  • Municipalities: has the meaning established in Section 1 of Article VII of the Constitution of the State of Illinois of 1970. See Illinois Compiled Statutes 5 ILCS 70/1.27
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Oversight: Committee review of the activities of a Federal agency or program.
  • Partnership: A voluntary contract between two or more persons to pool some or all of their assets into a business, with the agreement that there will be a proportional sharing of profits and losses.
  • Personal property: All property that is not real property.
  • Probate: Proving a will
  • Public law: A public bill or joint resolution that has passed both chambers and been enacted into law. Public laws have general applicability nationwide.
  • Real property: Land, and all immovable fixtures erected on, growing on, or affixed to the land.
  • Remainder: An interest in property that takes effect in the future at a specified time or after the occurrence of some event, such as the death of a life tenant.
  • Rescission: The cancellation of budget authority previously provided by Congress. The Impoundment Control Act of 1974 specifies that the President may propose to Congress that funds be rescinded. If both Houses have not approved a rescission proposal (by passing legislation) within 45 days of continuous session, any funds being withheld must be made available for obligation.
  • State: when applied to different parts of the United States, may be construed to include the District of Columbia and the several territories, and the words "United States" may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14
  • Statute: A law passed by a legislature.
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: may be construed to include the said district and territories. See Illinois Compiled Statutes 5 ILCS 70/1.14
  • Units of local government: has the meaning established in Section 1 of Article VII of the Constitution of the State of Illinois of 1970. See Illinois Compiled Statutes 5 ILCS 70/1.28