Medicaid

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.

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.

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