Illinois Payment Resources
Summary of payment program
Sexual Assault Survivors Emergency Treatment Act((SASETA) 410 ILCS 70/7.5) Sec. 7.5. Prohibition on billing sexual assault survivors directly for certain services; written notice; billing protocols.
- A hospital, approved pediatric health care facility, health care professional, ambulance provider, laboratory, or pharmacy furnishing medical forensic services, transportation, follow-up healthcare, or medication to a sexual assault survivor shall
- charge or submit a bill for any portion of the costs of the services, transportation, or medications to the sexual assault survivor, including any insurance deductible, co-pay, co-insurance, denial of claim by the insurer, spend down, or any other out-of-pocket expense.
Section 7 – Reimbursement:
- A hospital, approved pediatric health care facility, or health care professional furnishing medical forensic services, an ambulance provider furnishing transportation to a sexual assault survivor, a hospital, health care professional, or laboratory
providing follow-up healthcare, or a pharmacy dispensing prescribed medications to any sexual assault survivor shall furnish such services or medications to that person without charge and shall seek payment as follows:
- If a sexual assault survivor is eligible to receive benefits under the medical assistance program under Article V of the Illinois Public Aid Code – submit the bill to the Illinois Department of Healthcare and Family Services or the appropriate Medicaid managed care organization and accept the amount paid as full payment.
- If the sexual assault survivor is covered by one or more policies of health insurance or is a beneficiary under a public or private health coverage program – bill the insurance company or program. With respect to such insured patients, applicable deductible, co-pay, co-insurance, denial of claims, or any other out-of-pocket insurance-related expense may be submitted ot the Illinois Sexual Assault Emergency Treatment Program of the Department of Healthcare and Family Services in accordance with 89 Ill. Adm. Code 148.510 for payment at the Department of Healthcare and Family Services’ alloweable rates under the Illinois Public Aid Code.
- If the sexual assault survivor is neither eligible to receive benefits under the medical assistance program under Article V of the Illinois Publid Aid Code nor covered by a policy of insurance or a public or private health coverage program – submit the request for reimbursement to the Illinois Sexual Assault Emergency Treatment Program under the Department of Healthcare and Family Services.
- If a sexual assault survivor presents a sexual assault services voucher for follow-up healthcare – submit the request for reimbursement for follow-up services to the Illinois Sexual Assault Emergency Treatment Program under the Department of Healthcare and Family Services.
Who is eligible?
• A person who was sexually assaulted in Illinois
• The spouse and parents of a person who was sexually assaulted in Illinois (for expenses such as their own counseling or loss of earnings while caring for the sexual assault victim).
• Solely for mental health treatment expenses, the victim’s minor siblings or minor children (under the age of 18).
• Notify law enforcement within 7 days of the crime’s occurrence.
• File an application within 2 years of the crime date (specific limited exceptions may apply).
• Cooperate with law enforcement to arrest and prosecute the offender
○ The following also satisfies the notification and cooperation requirements:
▪ Obtaining a Plenary Order of Protection, Civil No Contact Order or Stalking No Contact Order
▪ Having a sexual assault evidence collection kit done
• The victim must not have contributed to or provoked the crime.
• A victim who is in jail, in prison, on probation, or on mandatory supervised release for a felony
The Illinois Crime Victim Compensation Program is the payor of last resort. All other sources of payment must be exhausted before an award may be issued by the Crime Victims Compensation Program. Payment will not be recommended for expenses or losses that can be covered by any other available sources, such as medical/health, dental, or vision insurance, Public Aid, Medicare, discounts available under the Hospital Uninsured Patient Discount Act, Worker’s Compensation Benefits, life insurance, auto insurance, restitution, and any other reasonable source.
Coordination with healthcare
Illinois Coalition Against Sexual Assault – Rape Crisis Centers
Each center operates a 24-hour-hotline that provides services every day of the year.
Illinois Attorney General – Improving Response to Sexual Assault
In 2016, The Attorney General’s Office led an effort with the Cook County State’s Attorney’s Office, the St. Clair County State’s Attorney’s Office and the Illinois Coalition Against Sexual Assault to pass:
Administrative Rules: Sexual Assault Survivors Emergency Treatment Code
Victim notices to be provided by law enforcement per the Sexual Assault Incident Procedure Act: Mandatory Notice for Survivors of Sexual Assault
Handling of Sexual Assault Evidence by Hospitals: Public Act 099-0801 amends the Sexual Assault Survivors Emergency Treatment Act, 410 ILCS 70/, to change how hospitals handle Illinois State Police Sexual Assault Evidence Collection Kits and other sexual assault evidence.
Victim notices to be provided by hospitals pursuant to the Sexual Assault Incident Procedure Act:
Illinois CheckPoint – Sexual Assault Evidence Collection Kit tracking database