Comptroller issues special report on Medicaid long-term care determinations

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A report released Thursday by the office of Illinois Comptroller Susana Mendoza stated Gov. Bruce Rauner’s administration has put tens of thousands of state seniors and those with disabilities at risk.

The report said the administration has failed to process millions of dollars in bills for critical services and an increase in enrollment delays is threatening care providers’ ability to cover basic costs like medicine, food and payroll.

The report, which uses Department of Healthcare and Family Services (HFS) data, found that the number of pending Medicaid eligibility determinations for LTC over 90-days-old rose 143 percent between December 2017 and May 2018. HFS reported it can only process 60 percent of new, incoming applications in a timely manner and, as of the end of May, there were 16,378 pending admissions. 

“The Rauner Administration’s continued dysfunction is again threatening the people of the state who, perhaps, need our help the most,” Mendoza said. “For Illinois’ aging population, this is a massive healthcare and housing crisis and it again demonstrates an inability by Gov. Rauner to manage basic state functions and critical programs. The stakes –  the immediate well-being of thousands of seniors and persons with disabilities – could not be any higher.”

Earlier this month, Mendoza shared some of the report findings in a letter to Rauner. It outlined her concerns and proposed solutions including providing both immediate and sustainable support for the timely processing of claims to provide uninterrupted services and signing HB 4771 and SB 2913, the bipartisan legislation approved by the General Assembly earlier this year to simplify these functions and prevent future backlogs.

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