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.

Sen. John G. Mulroe


10th District

Years served: 2010 - 2019

Committee assignments: Commerce and Economic Development; Criminal Law; Executive; Insurance (Vice-Chairperson); Judiciary (Chairperson); Public Health; Subcommittee on Const. Amendments.

Biography: Born July 21, 1959, in Chicago; BBA, accounting, Loyola University; J.D., Loyola University School of Law; member of Chicago and Illinois State Bar associations; full-time attorney; former assistant state's attorney and arbitrator for Cook County; certified public accountant; married (wife, Margaret), four children.

Associated Representative:
Robert Martwick
Michael P. McAuliffe