Bill targets MCO-related cuts to DME

Tuesday, July 31, 2018

SPRINGFIELD, Ill. – A bill has been introduced in the Illinois General Assembly that would help to address concerns surrounding 10% to 50% cuts to medical supply companies by certain managed care organizations, according to the Herald & Review. House Bill 5930, co-sponsored by Reps. David McSweeney, R-Barrington Hills, and Gregory Harris, D-Chicago, would prohibit medical supply companies from being paid less than 10% below Medicaid “fee for service” rates by MCOs, the newspaper reported. It would also require “minimum quality standards” for medical supply companies and prohibit managed care organizations from signing “sole-source” contracts. “The quality standards, McSweeney said, would help to ensure that patients are well-served by companies accepting the rock-bottom payments being mandated by at least one of the state’s contract Medicaid managed care companies, IlliniCare Health,” the newspaper reported. McSweeney hopes to get the bill passed during the upcoming fall veto session or the 2019 spring session.