IL HB4917

Requires the Department of Healthcare and Family Services to coordinate with the Department on Aging and Department of Human Services to maximize federal financial participation and integrate Home and Community-Based Services (HCBS) waiver funding streams to support PACE enrollment

Creates a unified budgeting approach treating long-term services and supports appropriations as a fungible pool, allowing funding to transition seamlessly when participants choose PACE over traditional waiver services

Establishes that individuals eligible for nursing facility level of care under HCBS waivers are automatically deemed clinically eligible for PACE without requiring separate medical assessments

Preserves waitlist status and slot value for individuals on HCBS waiver waiting lists who choose to enroll in PACE, applying those values to PACE capitation rates to maintain budget neutrality

Allows participants to transition between PACE and traditional HCBS models during open enrollment or upon changes in medical necessity, with a Unified Assessment Tool ensuring portable clinical profiles between systems