Recent Audit Finds Two-Thirds of Illinois Medicaid Beneficiaries Ineligible
April 2, 2013 05:11 PM
In January 2013, the Illinois legislature began an audit of its Medicaid program in an effort to achieve an estimated $1.6 billion in savings. From the initial sample size - numbering 20,500 beneficiaries - legislators discovered that 13,709, or approximately two-thirds, were ineligible. Some didn’t meet income eligibility requirements, while others simply did not live in Illinois.
For more details on the audit’s findings, click here.
This finding comes as Illinois debates expanding Medicaid under the Affordable Care Act - and follows the state’s signing of a Memorandum of Understanding (MOU) with Centers for Medicare and Medicaid Services (CMS) establishing the Medicare-Medicaid Alignment Initiative (MMAI) in Illinois on February 22.
The MMAI is a joint federal and state project that seeks to improve care and reduce costs associated with beneficiaries eligible for both Medicare and Medicaid, or “dual eligibles.” Illinois is the fourth state to implement the MMAI.
Starting in October 2013, Illinois will coordinate care to over 135,000 dual eligibles in twenty-one counties of Greater Chicago and Central Illinois under this project.
For a previous NAHC Report article discussing Illinois’ MOU, click here.