Illinois 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.

New Laws Digitize Medicaid Applications

Aug 3, 2018
Sarah Jesmer

Governor Bruce Rauner signed two bills Thursday afternoon that will bring changes to the state health system. These bills,  SB 2385 and SB 2913, are expected to make the long-term care application process faster and cheaper. 

Flickr User Jennifer Morrow / (CC X 2.0)

Illinois Gov. Bruce Rauner has signed a Medicaid funding plan that changes the way hospitals are reimbursed for treating low-income patients.

The Republican said Monday in Chicago that the proposal is a "major step forward" to ensure that hospitals in impoverished communities are adequately funded.

Flickr User Jennifer Morrow / (CC X 2.0)

The Illinois House has approved a revised plan to access federal Medicaid money for hospitals.

The plan OK'd Wednesday would provide $3.5 billion in state and federal money for about 200 hospitals. It answers federal requirements that more Medicaid patients be covered by managed-care programs.

The House voted 107-7 for the plan. Hospitals pay an assessment upfront that's matched by federal funds.

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.

Hemophilia.org

The state of Illinois has cut in half the number of insurers in its Medicaid managed care program.

The Illinois Department of Healthcare and Family Services announced Friday it has selected six insurers to participate in the overhauled program, down from the 12 currently participating. The insurers administer Medicaid benefits under the managed care program.

The insurers remaining in the program for the next four years are Blue Cross Blue Shield of Illinois, Harmony Health Plan, IlliniCare Health, Meridian Health, Molina Healthcare and CountyCare Health Plan.

Christine Herman/Illinois Public Media

After 18 years serving the Metro East region of Illinois, pediatrician Kristin Stahl is crafting an exit strategy and may eventually close her practice.  Two years of unpaid bills during the state’s budget impasse have driven her into debt and to the end of her patience.  

“The state has historically been so terrible in its payments that it’s very difficult to keep in business,” Stahl said.

Several Democrats running for governor of Illinois are proposing the state enact universal healthcare.

J.B. Pritzker is the latest to bring out a plan. He wants to let anyone buy into the Medicaid program, which is currently limited to the poor, elderly and disabled. 

However, two other Democratic candidates said Pritzker's plan doesn't go far enough. State Sen. Daniel Biss of Evanston and Chicago Ald. Ameya Pawar said Illinois should create its own single-payer plan. That’s where all healthcare is paid for by the government, instead of private insurance. 

Ryan Delaney/St. Louis Public Radio

U.S. Sen. Tammy Duckworth said the Republican effort to repeal and replace the federal Affordable Care Act could devastate drug treatment clinics by making deep cuts to Medicaid, the government-run insurance program for low-income Americans.

Hemophilia.org

Attorneys for Medicaid service providers in Illinois are asking for about $1.1 billion dollars in each of the next four months.

Despite the lack of a budget, a federal judge has ordered Illinois to move faster in reimbursing doctors and hospitals who treat Medicaid patients. Some doctors have been waiting six months for payments because the state is so far behind in paying its bills -- and they’re threatening to stop seeing low-income patients.

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A new report says that repealing the Affordable Care Act, also known as Obamacare, would have a disproportionately negative effect in rural Illinois.

The paper, released by the Georgetown University Center For Children and Families,  says a greater percentage of people in rural areas relies on Medicaid than their urban counterparts.

Hemophilia.org

  Illinois Gov. Bruce Rauner is urging Democrats to return to Springfield and pass a budget following a federal court ruling requiring the state to pay more toward Medicaid.

 

A federal judge ruled Wednesday in favor of some Medicaid service providers who say the state's gotten so late with its healthcare reimbursements that doctors may stop treating those low-income patients. She ordered the state to negotiate with lawyers for Medicaid service providers to try to find a way to speed up payments.

 

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.

Hemophilia.org

A court hearing scheduled Tuesday has the potential to shake up the precarious financial situation in Illinois. Organizations that run the state’s Medicaid program want a federal judge to speed up their payments.

The state already owes money to  a variety of organizations due to the budget impasse, but Medicaid providers want a federal judge to put them at the front of the line. Comptroller Susana Mendoza said Illinois already spends heavily on Medicaid, and letting those groups cut in line means Illinois would soon run out of money.

"Courtroom One Gavel" by Flickr User Beth Cortez-Neavel / (CC BY 2.0)

A federal judge in Chicago has delayed a ruling Wednesday on whether the state of Illinois should speed up hundreds of millions of dollars in Medicaid payments during the budget impasse.

Illinois is getting later and later in paying its bills because of the budget impasse. The state has total of $14.2 billion in bills waiting to be paid -- $1 billion of that owed to Aetna and Meridian.

Hemophilia.org

Illinois Democrats want to stop Gov. Bruce Rauner from further changing the way the state manages Medicaid, one of its most expensive programs.

State Sen. Dave Koehler of Peoria previously supported allowing outside companies and hospitals to run portions of the healthcare system for low-income people. But he says the companies are falling short, and the governor's proposal would increase their reach.

Hemophilia.org

More than two dozen health-care providers and insurance companies are telling a federal judge they may have to stop serving Medicaid patients because the State of Illinois is so late in paying Medicaid bills.

Twenty-five health-care organizations are asking Judge Joan Lefkow in Chicago to make the state government reimburse them faster for seeing Medicaid patients. They say in sworn statements that, if Lefkow doesn’t agree, doctors may stop seeing Medicaid patients altogether.

Almost 400,000 low-income Illinoisans are on Medicaid under the Meridian Health Plan.

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.”

"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."

"Electronic Stethescope" By Flickr User Ted Eytan / (CC BY 2.0)

A federal judge is ordering Illinois to provide in-home nursing care to more than 1,200 children with disabilities and severe medical conditions after a lawsuit alleging the state has failed to fulfill its Medicaid obligations.

The ruling from U.S. District Judge Charles Kocoras in Chicago does not resolve the lawsuit, which could play out over several months or longer.

But his preliminary injunction requires the state to act now because the “plaintiffs have demonstrated a likelihood of success.''

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

Nearly 349,000 Illinois residents have signed up for health insurance or were automatically renewed for coverage though the federal marketplace HealthCare.gov.

Eighty percent of the enrollees live in the Chicago area. Enrollment figures released this week by the U.S. Department of Health and Human Services reflect those who picked plans or were automatically renewed from Nov. 1 through Jan. 9.

Today is an enrollment deadline for coverage starting Feb. 1. Open enrollment ends Jan. 31. The enrollment period applies only to people buying private health insurance.

Medicare.gov

Health officials say more than 500,000 Medicare patients in Illinois will have their health care needs coordinated by federally designated "accountable care organizations'' this year.

Springfield-based Hospital Sisters Health System is one of several new such networks serving Illinois patients.

Spokesman Brian Reardon says more than 21,000 patients will be part of the Hospital Sisters Health System accountable care organization, or ACO.

Illinois Seeking New Ways To Spend Medicaid Dollars

Jan 23, 2014
state of Illinois

Illinois officials are planning an unusual request for flexibility in spending federal Medicaid dollars.

Quinn Signs Medicaid Expansion

Jul 22, 2013
state of Illinois

Governor Pat Quinn has signed a bill expanding the state's Medicaid program. The expansion will cover low-income Illinois adults who don't have children at home.