Recently it was announced that the federal government has approved the state’s plan to protect safety net and rural hospitals while ensuring continued federal support for quality healthcare to more than three million Illinoisans.
Legislators worked with the Illinois Health and Hospital Association and the Department of Healthcare and Family Services (HFS) to redesign the program, create a more equitable reimbursement process, and ensure more efficient use of taxpayer dollars.
“The Department is pleased that the federal government has approved this plan, which will mean that dollars follow services for Medicaid patients more closely,” said Teresa Hursey, Interim Director of HFS. “The new program reflects the reality that healthcare delivery has changed dramatically over the last ten years, and it draws down as much federal revenue as we believe is permissible.”
Prior to the new program, the state used old data sets, which were sometimes based on care that was provided as far back as 2005, to reimburse hospitals for Medicaid services. The new model applies updated data and also ensures that more of the reimbursements are based on actual services hospitals provide.
It also dedicates more than $260 million to help hospitals transform their operations to better serve their communities, such as offering more urgent and outpatient care.