IL SB3762

Establishes a Long-Term Care Eligibility Advisory Committee by October 1, 2020, composed of 10 citizen members and 8 legislative members, appointed by the four legislative leaders and Governor, to address problems in Medicaid long-term care eligibility determinations and enrollment.

Requires the Committee to meet every 6 weeks until backlogs in Medicaid applications are eliminated, then quarterly thereafter, with oversight of joint quarterly reports from the Department of Healthcare and Family Services, Department of Human Services, and Department on Aging beginning January 1, 2020.

Mandates streamlined application processes by July 1, 2019, including minimized data collection, integrated online data sources, and online prompts for missing information to expedite eligibility verification for long-term care services.

Requires nursing facilities to submit all medical assistance applications online through the Application for Benefits Eligibility (ABE) website 30 days after completing three regional trainings, with all documents scanned and uploaded electronically.

Establishes provisional eligibility for Medicaid applicants who do not receive determinations within federal timeliness requirements, allowing them to receive covered services while applications are pending and authorizing provider reimbursement during the provisional period.