• Mulroe streamlines Medicaid renewal process for long-term care residents

    mulroe 052418CHICAGO–Elderly and disabled Medicaid patients residing in long-term care facilities will soon see their applications automatically renewed under a new law sponsored by State Senator John G. Mulroe (D-Chicago).

    “The backlog of long-term care determinations and redeterminations for elderly and disabled Medicaid patients is unacceptable,” Mulroe said. “This new law will expedite the process for certain applicants and automatically renew current Medicaid patients in long-term care facilities.”

    Senate Bill 2913 requires the Department of Healthcare and Family Services to implement passive renewals for Medicaid patients residing in long-term care facilities, many of whom are elderly or disabled. It also requires the departments to establish an expedited long-term care facility eligibility determination and enrollment system.

    Additionally, the law requires the DHFS to adopt policies to improve communication between long-term care facilities and applicants and for applicants to have the opportunity to speak directly to a trained individual over the phone.

    “Too many long term care facilities have already closed due to delayed payments from Medicaid determinations,” Mulroe said. “We have to put an end to this and support facilities as well as patients.”

    Currently, there are more than 8,000 applications pending more than 90 days due to state delay. According to a recent report from the Illinois comptroller, the number of pending Medicaid eligibility determinations for long term care facilities that are more than 90 days old rose 143 percent between December 2017 and May 2018. The average cost to treat a patient in a long-term care facility is $55,000 per year.

    The legislation was signed into law today. It takes effect immediately.

  • Haine supports measure to ensure nursing homes aren’t punished for state’s mistakes

    Sen. William R. HaineSPRINGFIELD – State Senator Bill Haine (D-Alton) co-sponsored and spoke adamantly in support of a measure passed by the Illinois Senate that will allow patients who have waited more than 45 days to determine their Medicaid status to become provisionally eligible.

    Haine co-sponsored the legislation after hearing dozens of complaints from frustrated constituents who experienced significant delays in getting their Medicaid status approved.

    Federal law requires the state to make this determination in less than 45 days, but in Illinois many patients have been callously forced to wait several months, and in some cases even up to a year.