Full Text of HR1295 095th General Assembly
HR1295 95TH GENERAL ASSEMBLY
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HR1295 |
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LRB095 21398 DRJ 50807 r |
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| HOUSE RESOLUTION
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| WHEREAS, The Illinois Public Aid Code (305 ILCS 5/) sets | 3 |
| out criteria, standards and procedures governing the Medical | 4 |
| Assistance (Medicaid) Program that pays for the medical care | 5 |
| for elderly and disabled persons whose needs may best be met by | 6 |
| qualified long term care providers; and
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| WHEREAS, Eligibility for the Medical Assistance Program | 8 |
| includes a determination of the financial resources available | 9 |
| to the applicants to cover the cost of care, and a finding by | 10 |
| the Department of Healthcare and Family Services together with | 11 |
| the Department of Human Services regarding applicants' | 12 |
| responsibility for payment for care; and
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| WHEREAS, The Medical Assistance Program pays for the care | 14 |
| to the extent that an applicant's or recipient's financial | 15 |
| resources are not sufficient to cover this cost; and
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| WHEREAS, There have been instances in which the Department | 17 |
| of Healthcare and Family Services together with the Department | 18 |
| of Human Services has committed errors in the eligibility | 19 |
| determination process, including but limited to incorrect | 20 |
| processing and evaluation of the applications and the financial | 21 |
| information provided on behalf of the applicant or recipient, | 22 |
| incorrect assessment of the applicant's or recipient's payment |
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LRB095 21398 DRJ 50807 r |
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| or spenddown responsibility, and failure to correct these | 2 |
| errors on a timely basis; and
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| WHEREAS, Errors in the determinations of eligibility and | 4 |
| the assessment of the financial resources of applicants or | 5 |
| recipients who require long term care can incorrectly result in | 6 |
| the qualification and disqualification of persons, or in | 7 |
| excessive personal liability of the applicant or recipient; and
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| WHEREAS, It is critical that the eligibility determination | 9 |
| process function effectively to ensure the proper expenditure | 10 |
| of public funds, as well as coverage for those persons who are | 11 |
| in need of and entitled to assistance; therefore, be it
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| RESOLVED, BY THE HOUSE OF REPRESENTATIVES OF THE | 13 |
| NINETY-FIFTH GENERAL ASSEMBLY OF THE STATE OF ILLINOIS, that | 14 |
| the Auditor General of the State of Illinois is directed to | 15 |
| audit the Medical Assistance Program jointly administered by | 16 |
| the Illinois Departments of Healthcare and Family Services and | 17 |
| Human Services with respect to the accuracy and impact of | 18 |
| eligibility determination standards and procedures regarding | 19 |
| persons applying for or receiving assistance for long term | 20 |
| care, with particular emphasis on the nature and scope of | 21 |
| errors in the assessment of the financial resources and | 22 |
| financial liability of the applicants and recipients; and be it | 23 |
| further
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LRB095 21398 DRJ 50807 r |
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| RESOLVED, That the Department of Healthcare and Family | 2 |
| Services, the Department of Human Services, and any other State | 3 |
| agency, entity or person that may have information relevant to | 4 |
| this audit cooperate fully and promptly with the Auditor | 5 |
| General's Office in its conduct; and be it further | 6 |
| RESOLVED, That the Auditor General report the conclusions | 7 |
| of this audit as soon as possible and make public the findings | 8 |
| and recommendations upon completion in accordance with the | 9 |
| provisions of Section 3-14 of the Illinois State Auditing Act; | 10 |
| and be it further | 11 |
| RESOLVED, That copies of this resolution be delivered to | 12 |
| the Auditor General, the Director of Healthcare and Family | 13 |
| Services, and the Secretary of Human Services.
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