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Policy Update
SLP DCS Rate Increase
Governor Pritzker this month signed the Medicaid Omnibus bill (SB1298), which among other changes increases provider rates for supportive living dementia care pending federal approval and beginning January 1, 2024. To view the estimated rate increase, click here.
Reminder! Long Term Care Admission Processing
With the ending of the Public Health Emergency (PHE), HFS issued a Provider Notice as a reminder for Long Term Care (LTC) providers that the Department of Human Services (DHS) will again be applying this policy for the processing of LTC admission transactions that was implemented with Provider Notice issued 02/27/2020. To learn more, click here.
SLP Initial Screening
SLP providers will have access to screening outcomes with Path Tracker only after an individual is “admitted” in your census. This cannot be done until the individual moves into your community. You will still need to have the CCU, nursing facility, hospital, or other screening entity send you the results of the SLP Initial Screen, SLP Comprehensive Assessment (if applicable) and HFS 2536 Interagency Screening Results form with the DON score. Remember the HOPE Fair Housing Settlement does not allow SLP providers to complete their assessment of potential residents until the results of the required preadmission screens are received. If you need assistance with having an SLP Initial Screen completed, or are having difficulty receiving screening outcomes, contact Kara Helton (kara.helton@illinois.gov) or LaTatia Danner (Latatia.danner@illinois.gov or 217/782-0558)
Reminder! Service Planning Requirements for Supportive Living
As of July 1, 2020, Managed Care Organization case managers are responsible for assisting Supportive Living Program residents enrolled in Medicaid managed care with the development of their service plan, including SLP services. This includes residents enrolled in HealthChoice Illinois and the Medicare Medicaid Alignment Initiative Plans. To learn more, click here.
HHS Secretary Xavier Becerra issues a letter on Medicaid Redeterminations to Governors
With the Public Health Emergency ending in May and pre-COVID-19 pandemic Medicaid operations resuming, there is growing concerns that many eligible individuals and families risk procedural termination and a loss of health coverage. In the letter, Becerra urged states to “adopt all options that we have offered to help eligible individuals and families maintain their health coverage during this process and leverage all state partners to support individuals and families to complete renewal forms.” To read the letter, click here.
Illinois is Ready to Renew
HFS in March launched the Ready to Renew campaign to assist with the end of the Medicaid continuous coverage. To view resources, click here.
Medicaid Enrollment and Unwinding Tracker
The Kaiser Family Foundation (KFF) released an updated version of their "Medicaid Enrollment and Unwinding Tracker" on June 20th. This tracker provides state-level data on Medicaid/CHIP enrollment, unwinding, renewals, and other measures. Please note that while the tool includes national data reported by CMS, it has a lag of several months and may not reflect the most current Medicaid enrollment status.
Click here to view the tracker.
Ensuring Access to Medicaid - Public Comments Submitted
AALC has partnered with Leading Age Illinois to submit comments on proposed federal rule changes impacting HCBS (CMS-2442-P). To learn more, click here. To read our comments, click here.
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