IL HR1225

Illinois Medicaid enrollment increased 60% over the past 5 years, with program liability nearly doubling in 10 years, prompting need for efficiency reforms.

The SMART Act (Public Act 97-689) requires procurement of an eligibility verification vendor within 60 days and contract execution within 30 days to ensure accurate Medicaid eligibility determinations.

The Legislative Medicaid Advisory Committee estimates annual cost savings of $350 million from implementing accurate eligibility measures and standards.

House urges the Department of Healthcare and Family Services to fully implement the eligibility redeterminations process by October 1, 2012 (rather than the proposed January 1, 2013 date).

Department is requested to provide monthly briefings to the Legislative Medicaid Advisory Committee on SMART Act implementation status, with information posted online for public access.