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State news: Illinois targets MCOs, Minnesota gets approval from judge

September 14, 2018Theresa Flaherty, Managing Editor

SPRINGFIELD, Ill. - Proponents say a bill in the Illinois House of Representatives that would address reimbursement cuts for home medical equipment and supplies is critical as more and more payers offer below-Medicaid rates.This year, IlliniCare Health, a Medicaid MCO, announced rate cuts ranging from 10% to 50%. House Bill 5930 would prohibit MCOs from paying providers less than 10% below Medicaid “fee for service” rates.“IlliniCare was the first one, but there's been quite a bit...

Illinois, Incontinence products, MAMES, MCOs, Minnesota


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Bill targets MCO-related cuts to DME

July 31, 2018Theresa Flaherty, Managing Editor

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....

Cuts, Illinois, Legislation, MCOs


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