Medicaid

Illinois Senate Democrats

State Senator Scott Bennett says he hopes lawmakers override the governor’s amendatory veto of a bill he co-sponsored to speed up the processing of Medicaid applications for long term care in Illinois.

Many Illinois nursing homes endure long waits for the state to process Medicaid applications, while they shoulder expenses for residents who have used up their own money. The delays in applications were a factor in the Champaign County Board’s decision to approve the sale of the Champaign County Nursing Home earlier this year.

Gov. Bruce Rauner/Facebook

Gov. Bruce Rauner has signed a law that gives families of extremely ill children more flexibility in health care. 

The Republican's action Monday affects children considered "medically fragile, technology dependent ." The law means that their expensive, highly technical care which is covered by Medicaid is exempt from managed-care organizations.

Brian Mackey

Gov. Bruce Rauner has signed a law that gives families of extremely ill children more flexibility in health care.

 

The Republican's action affects children considered "medically fragile, technology dependent ." The law means that their expensive, highly technical care which is covered by Medicaid is exempt from managed-care organizations.

VIA ILLINOIS CENTRAL MANAGEMENT SERVICES

Three million Illinois Medicaid users will soon have more access to mental health and substance abuse treatments. Officials in Washington, D.C., OK’d a new state program that sets aside about $2 billion in Medicaid funds for the services.

If you’re someone who uses Medicaid, you’re covered if you go to the doctor’s office or hospital when you get physically sick. But if you have a mental health issue like depression, for example, and want a counselor to come visit you at home, it’s a different story.

Medicaid Cuts Hurt Independent Pharmacy Owner

May 4, 2018
"Meds" by Flickr User Charles Williams / (CC x 2.0)

A pharmacist in central Illinois says that HealthChoice Illinois—a recently expanded Illinois’ Medicaid program—includes cuts in reimbursement rates that make it harder for small drugstores like his to stay in business.

The April 1 expansion of Illinois’ Medicaid managed care program dropped prescription drug reimbursements to pharmacies from $5 per generic drug and $2.40 for brand-name drugs to just $0.45 for all Medicaid prescriptions. 

Illinois Medicaid officials say they're reviewing new federal guidelines that would let states require "able-bodied" Medicaid recipients to work.

The Illinois Department of Healthcare and Family Services said Thursday that the "policy notice and its implications are under review." The federal Centers for Medicare and Medicaid Services made the announcement Thursday. The agency's head, Seema Verma, said work and community involvement can make a positive difference in people's lives and in their health.

WUIS

Attorneys in a lawsuit over $2 billion in unpaid Medicaid bills say court-ordered talks to resolve the issue haven't made progress. 

They're asking a judge to order Illinois to start paying $1 billion a month as it heads into a third year without a budget.

The request in a Tuesday filing in Chicago federal court comes three weeks after Judge Joan Lefkow ruled Illinois isn't in compliance with previous orders to pay health care bills. She also told the sides to work out a deal on a level of payment ensuring critical medical care for the most vulnerable.

Hemophilia.org

A federal judge has ordered the State of Illinois to speed up required payments to Medicaid providers during its budget impasse.

In her ruling yesterday, Judge Joan Lefkow says their request to pay Medicaid faster is reasonable, but she stopped short of saying how the state should find the money. Instead, she ordered the state and attorneys for Medicaid providers to figure something out themselves in the next two weeks. If they fail to reach a solution, the two parties will be due back in court.

Phil Masterton / WNIJ

Illinois Gov. Bruce Rauner says he no longer supports expanding abortion coverage for state workers and Medicaid recipients because it's too controversial, and Illinois needs to focus on other issues such as creating jobs.

cbo.gov

The new Republican health care legislation in Congress could cost Illinois $40 billion dollars in federal funding over the next decade. That’s according to the recent report by the Congressional Budget Office.

Illinois’ health care exchange has not been the success Obamacare proponents were hoping for. Insurance companies have struggled to find customers.

But hospitals say the expansion of Medicaid has been huge for Illinois. It’s given 600,000 people access to healthcare, so far paid in full by the federal government.

Hemophilia.org

Illinois state lawmakers are planning to assess how Medicaid cuts proposed by President Donald Trump's administration could impact vulnerable residents.

House Speaker Michael Madigan earlier this week asked Democratic state Rep. Greg Harris of Chicago to hold a hearing Thursday morning on what the changes could mean for Illinois. Harris chairs the Appropriations-Human Services Committee.

Madigan on Wednesday estimated that 1 in 4 Illinoisans would be impacted by congressional Republicans' plans to alter the Medicaid system by providing a set lump sum payment to states.

Hemophilia.org

Gov. Bruce Rauner's administration is seeking to offer more Medicaid services through managed-care programs.

Rauner and two cabinet members announced the plan in Chicago Monday. It involves choosing a vendor that'll provide managed-care services to 80 percent of Medicaid clients.

That's up from 65 percent now. It'll also be expanded to all Illinois counties and children in the care of the Department of Children and Family Services.

Phil Masterton / WNIJ

Illinois Governor Bruce Rauner said he doesn't support a repeal of Obamacare without a replacement.

It’s a rare comment from a governor who has stayed away from saying anything in public about national politics. But, as Republicans in Congress debate the issue with President-Elect Donald Trump, Rauner says he doesn’t support a simple repeal.

“I don’t think it works very well to just take it away and have nothing to replace it with," he said. "I don’t think that works.”

Hemophilia.org

Mental health centers were devastated during the Illinois extended budget stalemate. However, the state is working to expand behavioral health services to people who can’t afford them.  

Dr. Cari Wolf says Illinois is where Texas used to be.

“It was common to have people experiencing a mental health crisis languish in ERs for days. Law enforcement spent hours responding to mental health crises and trying desperately to link people with services.”

"stethoscope" by flickr use rosmary (CC BY 2.0)

The state of Illinois is seeking permission from the federal government to use Medicaid funding to pay for mental health and substance abuse services that usually aren't covered under the health insurance program for those living in poverty.

The Southern Illinoisan reports that Gov. Bruce Rauner's administration is seeking a five-year waiver from certain Medicaid rules as part of its proposed "health and human services transformation."

Medicare.gov

Governor Bruce Rauner has created a task force charged with finding fraud in taxpayer-funded health care programs.

The Republican today used his executive authority to form the group. It'll seek ways to prevent waste in state- and federally funded Medicaid ... the state employee's health insurance ... and even costs of caring for inmates in Illinois prisons.

Rauner says the cost of state-run health care programs increases when no one watches to stop abuse and fraud.

"Money" By Flickr User Pictures of Money / (CC BY 2.0)

Gov. Bruce Rauner says he will outline a plan to get Illinois out from under court-ordered spending that's plunging the state further into debt during a seven-month budget stalemate.

    

The Republican was speaking in an interview with The Associated Press marking his first year in office Tuesday. The Legislature begins its spring term Wednesday.

Even without a budget, the state has been required to continue spending on things such as Medicaid because of federal consent decrees and court orders.

Flickr user / Images Money "Healthcare Costs" (CC BY 2.0)

Illinois Gov. Bruce Rauner’s administration is not yet saying whether it plans to fund Medicaid providers outside Cook County. That question remained after a federal judge ordered the state to pay providers in Cook County while the budget impasse at the Statehouse continues.

A decade-old court order was used as a vehicle to sue state government and force Medicaid payments to Cook County hospitals and doctors.

Democratic Sen. Heather Steans says she hopes Gov. Rauner, a Republican, expands that ruling to Medicaid providers all across the state.

Talk Radio News Service

It's been a year since the Affordable Care Act launched. The state says 685,000 people have taken advantage of the law --- more than expected.

That includes Keith Moons, who says his family lost insurance coverage in 2011 and weren't able to get it back because of unemployment and preexisting conditions.

Report: Illinois Overdrew Federal Medicaid Money

Aug 18, 2014
OIG at HHS

A report has found that Illinois overdrew Federal Medicaid funds by using faulty procedures.

Medicaid Purge In Illinois On Hold

Sep 18, 2013
state of Illinois

Illinois' attempts to remove ineligible people from the state's Medicaid rolls are being delayed. It comes amid a legal fight between the state and its largest public employees' union over who should actually do the work.

House Approves Medicaid Expansion

May 28, 2013
ilga.gov

Low-income adults who do not have children would be eligible for state-backed health care coverage under a measure approved in the Illinois House.

The Medicaid expansion is a signature plank of the federal Affordable Care Act.

Republicans protested the move because they say Illinois cannot afford it.

But House Majority Leader Barbara Flynn Currie says the state is already paying for people without insurance.

WNIJ

Illinois smokers could soon see a huge increase in the cost of a pack of cigarettes. The Illinois House today approved a plan to more than double the tax on cigarettes, to $1.98 a pack. Other tobacco products would see a similar increase.

General Assembly Approves Massive Medicaid Cuts

May 25, 2012

The General Assembly has overwhelmingly approved steep cuts to Medicaid, Illinois' system of health care for the poor.   Backers of the cuts say they are a long-overdue correction for a program that has grown out of control.

Rockford-based Swedish American Health System has announced layoffs and job position eliminations to stay in the black,  citing potential reductions to reimbursement rates under the state's Medicaid program. 

A pair of separate reports criticized proposed cuts to Illinois' Medicaid program.  Governor Pat Quinn wants to reduce program spending by $2-billion dollars, and raise cigarette taxes to close the rest of the Medicaid budget shortfall.