Rauner's Eyes are on Slashing Senior Services
Gov.Rauner has proposeda new round of cuts after he andstate lawmakers failed to pass a budget by the May 31st deadline. Of particular importance to health advocates: seniors in the Community Care Program (CCP)could now face income limits and a higher qualifying score for the Determination of Need (DON) screen. The DON screen determines eligibility for CCP based on factors that look at a person’s ability to live independently. The program isaimed at keeping seniors out of nursing homes byprovidingservices likelaundryor cooking help for those who are unable to do some activities of daily living independently.
To continue to qualify for CCP underGov. Rauner's proposed changes, seniors must have even greater needs and belowincome.The restricted eligibility requirementscould bumpabout onethird of seniors.
Health advocates warn thatseniors droppedwouldbe forced into nursing homes, ultimately at a greater cost to the state. Most impacted would beseniors with slightly fewer needs who would no longer qualifybecause of their DON score. TakeRay Miller, interviewed in a Chicago Tribune article, who would be cut becausehe has aDON scorelower than the potential newlimit. Heworries that he would likely go to a nursing home, a living arrangement that would cause him to "give up."
Are you working with clients similar to Ray? Illinois Health Matters wants to hear your stories of people who may fall through the cracks because of Gov. Rauner's budget actions. E-mail us.
From our blog
Redoing Redes: Strengthening Communication Procedures in the Illinois Medicaid RedeterminationProject
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The stateis erroneously suspending vital medical care for people who remain eligible. Since the rollout of the IMRP in early 2013, the program has been plagued by inadequate communication from the state that leaves consumers confused and ultimately without healthcare. Consumers report that they are not receiving the required notices by mail and when they call with questions, frontline state staff cannot provide answers. Because of the state’s ineffective communication protocols and inadequate employee training, rightful Medicaid beneficiaries are in the precarious situation of being unable to fill their prescriptions, go to the doctor or receive treatment. The purpose of the IMRP is to save state dollars by trimming the Medicaid program of those who are no longer eligible, not cut people who still deserve services. Read more...
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This timeline from the Make Medicare Work (MMW) Coalition lays out what services new enrollees can expect from Illinois managed care plans.
Find enrollment events in your area at the Get Covered Illinois Events page.
Find volunteer and community engagement opportunities at Get Covered America Events page.
Download a presentation and/or watch a recording from the EverThrive Illinois Webinar series.
Learn what the ACA means for a small business owner from the Small Business Majority's Thursday talks.
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