HR1295

LRB095 21398 DRJ 50807 r






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HOUSE RESOLUTION


 
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    WHEREAS, The Illinois Public Aid Code (305 ILCS 5/) sets 
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out criteria, standards and procedures governing the Medical 
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Assistance (Medicaid) Program that pays for the medical care 
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for elderly and disabled persons whose needs may best be met by 
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qualified long term care providers; and

 
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    WHEREAS, Eligibility for the Medical Assistance Program 
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includes a determination of the financial resources available 
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to the applicants to cover the cost of care, and a finding by 
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the Department of Healthcare and Family Services together with 
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the Department of Human Services regarding applicants' 
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responsibility for payment for care; and

 
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    WHEREAS, The Medical Assistance Program pays for the care 
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to the extent that an applicant's or recipient's financial 
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resources are not sufficient to cover this cost; and

 
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    WHEREAS, There have been instances in which the Department 
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of Healthcare and Family Services together with the Department 
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of Human Services has committed errors in the eligibility 
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determination process, including but limited to incorrect 
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processing and evaluation of the applications and the financial 
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information provided on behalf of the applicant or recipient, 
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incorrect assessment of the applicant's or recipient's payment 
 


 






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LRB095 21398 DRJ 50807 r




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or spenddown responsibility, and failure to correct these 
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errors on a timely basis; and

 
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    WHEREAS, Errors in the determinations of eligibility and 
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the assessment of the financial resources of applicants or 
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recipients who require long term care can incorrectly result in 
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the qualification and disqualification of persons, or in 
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excessive personal liability of the applicant or recipient; and

 
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    WHEREAS, It is critical that the eligibility determination 
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process function effectively to ensure the proper expenditure 
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of public funds, as well as coverage for those persons who are 
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in need of and entitled to assistance; therefore, be it

 
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    RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE 
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NINETY-FIFTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that 
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the Auditor General of the State of Illinois is directed to 
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audit the Medical Assistance Program jointly administered by 
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the Illinois Departments of Healthcare and Family Services and 
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Human Services with respect to the accuracy and impact of 
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eligibility determination standards and procedures regarding 
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persons applying for or receiving assistance for long term 
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care, with particular emphasis on the nature and scope of 
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errors in the assessment of the financial resources and 
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financial liability of the applicants and recipients; and be it 
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further

 
 


 






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LRB095 21398 DRJ 50807 r




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    RESOLVED, That the Department of Healthcare and Family 
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Services, the Department of Human Services, and any other State 
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agency, entity or person that may have information relevant to 
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this audit cooperate fully and promptly with the Auditor 
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General's Office in its conduct; and be it further
 
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    RESOLVED, That the Auditor General report the conclusions 
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of this audit as soon as possible and make public the findings 
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and recommendations upon completion in accordance with the 
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provisions of Section 3-14 of the Illinois State Auditing Act; 
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and be it further
 
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    RESOLVED, That copies of this resolution be delivered to 
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the Auditor General, the Director of Healthcare and Family 
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Services, and the Secretary of Human Services.