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Illinois Medicaid advisory committee provides budget update

Local Government

By Lhalie Castillo | Apr 7, 2017

The Illinois Department of Healthcare and Family Services Medicaid Advisory Committee met Jan. 8 to provide a budget update.

Here are the meeting's minutes, as provided by the committee:

Illinois Department of Healthcare and Family Services provides health care coverage for adults and children who qualify for Medicaid and Medicare. Provides child support enforcement services to ensure that Illinois children receive financial support from both parents.

Illinois Department of Healthcare and Family Services Medicaid Advisory Committee January 8, 2016

MAC Members Present Karen Brach, Blue Cross Blue Shield of Illinois Kelly Carter, Illinois Primary Health Care Association Kathy Chan, Cook County Health and Hospitals System Marla Coquillette for Arnold Kanter, Barton Management Bill Dart, Illinois Department of Public Health, ex-officio Janine Hill, EverThrive Illinois Thomas Huggett, Lawndale Christian Health Center Karen Moredock, Illinois Department of Children and Family Services, ex-officio Howard Peters, HAP Inc. Consulting Verletta Saxon, Centerstone Neli Vazquez-Rowland, A Safe Haven David Vinkler, Molina Rebecca Zuber for Jan Grimes, Illinois Homecare and Hospice Council

MAC Members Absent Tyler McHaley

HFS Staff Present Mike Casey Arvind K. Goyal Teresa Hursey Shawn McGady

Robert Mendonsa Felicia F. Norwood, Director John Spears Bridgett Stone

Interested Parties Sherie Arriazola, TASC Jessie Beebe, AFC Kelly Boedeker, Carematix Eric Boklage, Medical Home Network Nick Boyer, Otsuka Molly Brown, Fresenius Medical Care Kim Burke, Lake Co. Health Dept Grant Cale, BMS Terry Carmichael, CBHA Anna Carvalho, LaRabida Carrie Chapman, LAF Mike Chavers, Indian Oaks, Nexus Joe Cini, AHS Gerri Clark, DSCC Sheri Cohen, Chicago Dept of Public Health Laurie Cohen, Civic Federation Marsha Conroy, Aunt Martha's Alison Coogan, LAF Sandy DeLeon, Ounce of Prevention Magda Derisma, Shriver Center Andrew Fairgrieve, Health Management Assoc.

Tanya Ford, Nextlevel Health Eric Foster, IADDA Jill Fragos, Lurie Childrens Paul Frank, Harmony Wellcare Vivian Gonzalez, Illinois Health Connect Jill Hayden, BCBSIL Franchella Holland, Advocate David Hurter, Presence Health Partners Ollie Idowu, Harmony Wellcare Nadeen Israel, EverThrive IL Nicole Kazee, Univ of IL Health Jeanette Kebisekj, eMed Apps Sukhwant Khanuja, Carematix Keith Kudla, FHN Michael LaFond, Abbvie Ronald Lampert, Thresholds Brianna Lantz, PCMA/ISDS Dawn Lease, Johnson&Johnson Helena Leftkow, IHA Carol Leonard, DentaQuest Danielle Leonard, Janssen Mona Martin, PhRMA Deb McCarrel, ICOY

Jill Misra, Impact Solutions Inc. Diane L. Montonez, North Shore University Phil Mortis, Gilead Roberta Neuwirth, Glaxo Smith Kline Heather O'Donnell, Thresholds Charles Owen, FHN/CCAI John Peller, AIDS Foundation of Chicago David Porter, ISMS Sharon Post, HMPRG Dan Rabbitt, Heartland Alliance Lori Reimers, PCMA Jessica Rhoades, Legal Council for Health Justice Sam Robinson, Canary Telehealth Rachel Sacks, Leading Healthy Futures Heather Scalia, Humana Ralph Schubert, Il Public Health Association Lynn Seermon, Kaizen Health Rachel Self, Otsuka Alvia Siddiqi, Advocate Tim Smith, MPAG

Renee Smith, Otonomy Jacquelyn Smith, Nextlevel Health Nelson Soltman, Attorney Mackenzie Speer, Shriver Center Felicia Spivack, BCBSIL Alison Stevens, IL Hunger Coalition Anita Stuart, BCBSIL Jennie Sutcliffe, Shriver Center Mikal Sutton, Cigna-Health Spring Sally Szumlas, FHN Gary Thurnauer, Pfizer Michael Toscano, BMS Mara Vankanegan, Heartland Health Outreach Brittany Ward, Primo Center Mike Welton, Meridian Health Plan Cheryl Whitaker, Nextlevel Health Sarah White, Abbott Tom Wilson, Access Living Linnea Windel, VNA Healthcare

Meeting Minutes

I. Call to Order: The regular bi-monthly meeting of the Medicaid Advisory Committee was

called to order January 8, 2016 at 10:05 a.m. by chair Kathy Chan. A quorum was

established.

II. Introductions: MAC members and HFS staff were introduced in Chicago and Springfield.

III. New Business

a. Budget update: Mike Casey, Division of Finance for HFS presented on the current status

of the department. HFS continues to operate without a state budget for FY 16. The

department continues to process bills to the Comptroller’s Office. Expedited providers

are receiving payments within 30 days of bill receipt, and non-expedited providers are

receiving payments for bills submitted in late October. As of January 8th, MCOs have

received capitation payments through November 2016.

b. Managed Care Transformation update: Robert Mendonsa, Bureau of Managed Care for

HFS provided updates on Managed Care transformation. In terms of general expansion,

currently 60% of Medicaid enrollees belong to a managed care plan, with 75% expected

to be in managed care by the end of FY16. A provider notice was distributed on January

4, 2016 detailing the current status of the ACE and CCE transition. That provider notice may be found here:

http://www.illinois.gov/hfs/MedicalProviders/notices/Pages/prn160104a.aspx

c. Provider Enrollment update: Teresa Hursey, Administrator, Division of Medical

Programs reviewed the current status of provider enrollment under the new IMPACT

system. Revalidations are being processed as fast as possible, and the deadline for FAOs

has been extended to March, and all other providers to June. HFS continues to offer

training assistance to providers on the use of the IMPACT system. A total of 10,000 of

Illinois’ 300,000 providers have been revalidated as of January 8, 2016.

d. 2016 Meeting Dates: Chair Kathy Chan led a discussion on meeting dates for 2016. Per

the bylaws, HFS has recommended a move to quarterly meetings. Dr. Huggett raised a

concern with resolving time sensitive issues, especially in the beginning of the year.

Director Norwood noted that she has an open door policy for discussing major concerns.

Additionally it was noted that the Public Education and Quality Care subcommittees

each meet bimonthly. Following the discussion, Kelly Carter made a motion to move to

quarterly meetings, Howard Peters seconded the motion, which passed unanimously.

IV. Old Business: Dr. Huggett expressed continue concerns regarding how providers may be

able to find redetermination dates for patients to assist in the process. John Spears, Bureau

of Eligibility Integrity for HFS noted that redetermination dates are currently being sent to

MCOs, however the current system does not allow for provider-level data. Additionally

MEDI is available to look-up individual consumers. It was discussed that MCOs may be able

to send redetermination data to their providers, Karen Brach noted that BCBSIL currently

sends this information. Robert Mendonsa noted he will outreach to health plans to

determine the status of releasing redetermination information to providers.

V. Subcommittee Reports

a. Public Education Subcommittee Report: Kathy Chan reported on the December 3rd

meeting of the Public Education subcommittee which included a presentation on, IES

Phase II, as well as redeterminations.

b. Quality Care Subcommittee Report: Kelly Carter reported on the December 8th meeting

of the Quality Care Subcommittee. Leticia Reyes-Nash and Veronica Halloway of the

Illinois Department of Public Health presented on their departments efforts to address health disparities and health outcomes in Illinois. Julie Doetsch of the Bureau of Quality

Management presented on the CAPHS survey results.

VI. Approval of October 2015 Meeting Minutes: Howard Peters made a motion to approve the

August minutes; the motion was seconded by David Vinkler with all committee members

voting to approve the minutes.

VII. Other Business: Kathy Chan noted that the MAC anticipates discussion of the subcommittee

membership and charges at the May MAC meeting, as well as a review of the MAC bylaws.

Kelly Carter inquired about the status of HB500 to allow dental hygienists to provide

services, Teresa Hursey noted that HFS is currently working on the plan to implement this

legislation. Dr. Huggett inquired how quality data is being provided to the public. Robert

Mendonsa noted that the general measures discussed at the October 9th MAC meeting are

being rolled out to the plans in July, and the plans are expected to work with the Quality

Care subcommittee, so more information will be coming. A member of the public

recommended posting website logic or map on the new HFS website.

VIII. Adjournment: Howard Peters made a motion to adjourn the meeting, which was seconded

by Janine Hill and passed without objection by the committee. The meeting was adjourned

at 11:06 a.m.

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Illinois Department of Healthcare and Family Services

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