Illinois Medicaid State Plan definition

Illinois Medicaid State Plan or “State Plan” means the plan that was submitted by the State of Illinois to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, in accordance with Title XIX of the Social Security Act, 42 U.S.C. §§ 1396-1396v, in effect as of the date of the Approval of the Decree, including any subsequent amendments thereto.

Illinois Medicaid State Plan or “State Plan” means the plan that was submitted by the State of Illinois to the United States Department of Health and Human Services, Centers for Medicare and Medicaid Services, in accordance with Title XIX of the Social Security Act, 42 U.S.C. §§ 1396-

Examples of Illinois Medicaid State Plan in a sentence

• All eligible demonstration enrollees will have access to all Illinois Medicaid State Plan benefits as approved by CMS.

• Contractors must comply with the Illinois Medicaid State Plan and the Community Mental Health Services Service Definition and Reimbursement Guide (SDRG-CMHS Rev 9/30/2016).

• In July 2021, HFS met with staff from the Centers for Medicare & Medicaid Services (CMS) to seek technical assistance and discuss options for introducing the services required under Sections 35-50 and 35-55 of the Reimagine Public Safety Act into the Illinois Medicaid State Plan.

• Adding PACE to the Illinois Medicaid State Plan provides a unique opportunity for HFS to address key elements of its mission and vision.

• Section 4.30 of the Illinois Medicaid State Plan also prohibits IDPA from doing business with excluded providers.

• The Secondary Interagency Agreement requires the IDPA to make additional net adjustment payments to the Health Facilities based on the IDPA’s total expenditures for inpatient and ambulatory care at the Health Facilities made under an approved Illinois Medicaid State Plan on or after July 1, 1995.

• The ACR for each medical school physician group is calculated using the same methodology contained in the Illinois Medicaid State Plan.

• FINDING: (Insufficient controls over the University of Illinois Hospital Services Fund) – First reported 2015, last reported 2019 HFS did not have adequate controls to ensure Disproportionate Share Hospital (DSH) payments were paid in accordance with the Illinois Medicaid State Plan (State Plan).

• In the Consent Decree, “Community-Based Services” means those services (other than a placement in a Community-Based Setting) available under the Illinois Medicaid State Plan, as well as the services described in the Medicaid Community Mental Health Services Program administered by the Illinois Department of Human Services’ Division of Mental Health and authorized pursuant to 59 Ill.

• The existing infrastructure of services in the Illinois Medicaid State Plan is inclusive of mental health rehabilitation services, substance abuse and co-occurring services, services for persons with developmental disabilities and physical healthcare services that will be beneficial for Class Members.