Synopsis As Introduced Amends the Illinois Public Aid Code. Provides that, subject to the approval of a federal waiver, persons who are 21 years of age or older who have received Medicaid benefits under provisions concerning persons under age 21 who would qualify as disabled shall remain eligible for continued Medicaid benefits, outside an institution, at a level of care appropriate to meet the individual needs of the person, provided that a physician annually determines that the person requires the level of care provided by a hospital, skilled nursing facility, or intermediate care facility. Requires an annual report by the Department of Human Services beginning January 1, 2007. Requires the Illinois Department of Human Services, the Illinois Department of Public Aid, and the Division of Specialized Care for Children of the University of Illinois to enter into an interagency agreement for the purpose of cooperatively establishing a program of case management for any person who receives Medicaid benefits under the provisions concerning persons under age 21 who would qualify as disabled. Sets forth the minimum requirements for case management services. Effective immediately.
Fiscal Note (Department of Human Services)
Cost: Potential impact up to $26 million annually
Fiscal Note (Department of Public Aid)
Continuing the same or similar level of services as received under the medically fragile, technology dependent (MFTD) waiver, the cost for 15 people is estimated to be between $650,000 and $1.2 million more than for services paid at a skilled nursing facility or at an exceptional care rate. This cost is based on the minimum number required for a waiver and would thus increase each year as the number of waiver clients increases. It is also important to note that waiver services are projected to increase an average of 10% each year.