The Narrow-Network NightmareBy Janet L. Lerman and Frank E. StepnowskiAugust 2015Article, Page 32Many patients don't learn they're getting care from providers outside their narrow network until they received huge unexpected bills that aren't covered by insurance.
Reduced reimbursement rates and dispensing fees for healthcare providersJune 2015Illinois Law Update, Page 16Under this new addition to the Illinois Public Aid Code, nursing facility services, home health services, children's habilitation centers, specialized mental health rehabilitation facilities, supportive living facilities, ambulance services, pharmacy services, managed care entities...
Eligibility for health reimbursement arrangementsApril 2015Illinois Law Update, Page 16Under this amendatory act, the Illinois Board of Trustees retains the power to institute a health reimbursement arrangement that can provide, among other things, that...
Estate Planners Adopt and Adapt the New HCPOA FormBy Ed FinkelApril 2015Article, Page 20Illinois has a new, plain-language statutory health care power of attorney, and lawyers are getting used to it – and, in some cases, tweaking it to suit their practices.
Failure to report alleged abuse or neglect is now a Class A misdemeanorDecember 2014Illinois Law Update, Page 572The Department of Human Services ("DHS") has amended the regulations governing the investigation of alleged abuse or neglect in healthcare facilities and community agencies that are directly funded by DHS. 59 Ill. Adm. Code 50 (eff. Sept. 10, 2014).
AIDS drug assistance program updatedNovember 2014Illinois Law Update, Page 524The Department has amended its regulations governing the AIDS Drug Assistance Program ("ADAP") provided for by the Ryan White HIV/AIDS Treatment Extension Act of 2009.
Changes to public record access, timelines, and appealsSeptember 2014Illinois Law Update, Page 424The Health Facilities and Services Review Board ("the Board") recently added a new Part titled "Public Information Access, Rulemaking, and Organization" to the Chapter governing the Health Facilities and Services Review Board. 2 Ill. Adm. Code 1925 (eff. June 30, 2014).
More family members may petition for medical information under the Adoption ActSeptember 2014Illinois Law Update, Page 424This amendatory act to the Adoption Act adds several categories of people eligible to petition state courts for the appointment of a confidential intermediary to: (1) exchange medical and identifying information with mutually consenting biological relatives; and (2) arrange contact with consenting biological relatives.
Per-diem rate add-on payments for long-term stay hospitalsAugust 2014Illinois Law Update, Page 372Long-term stay hospitals will have payments for all current claims beginning on November 16, 2013; paid as a per diem rate add-on rather than an annual supplemental payment. 89 Ill. Adm. Code 148 (eff. May 13, 2014).
Reimbursement for nursing costs at geriatric facilitiesAugust 2014Illinois Law Update, Page 372Pursuant to Pub. Act 98-104, the Department of Healthcare and Family Services has established a new nursing component reimbursement methodology based on the Resource Utilization Group IV ("RUG") classification scheme. 89 Ill. Adm. Code 147 (eff. May 30, 2014).
Medical Marijuana Comes to IllinoisBy Ed FinkelApril 2014Article, Page 172What will the Medical Cannabis Act mean for patients? For employers? Others? Prepare to advise clients about what some are calling the most restrictive medical marijuana law in the country.
A more user-friendly statutory POA for health careBy Janan HannaApril 2014LawPulse, Page 162Proposed legislation would revise the HCPOA form to make it easier to understand and help principals better communicate their wishes about end-of-life treatment.
Preserving the Peer Review Privilege in Med-Mal CasesBy Margaret J. LoweryApril 2014Article, Page 176Properly performed peer review is not subject to discovery in med-mal litigation. But health care providers sometimes learn the hard way how the privilege can be lost.
Permissible uses for medical stretcher vansFebruary 2014Illinois Law Update, Page 68Medical stretcher vans may now provide their services to convalescent or bed-confined individuals who routinely require non-emergency transportation to or from medical appointments and who do not need medical monitoring or clinical observation. 77 Ill. Adm. Code 515 (eff. Nov. 12, 2013).
Amendments to birthing centers regulationsJanuary 2014Illinois Law Update, Page 16The Department of Healthcare and Family Services recently adopted amendments that allow birthing centers to receive medical assistance reimbursement. 89 Ill. Adm. Code 146.