MEDICAID-AUTO-ENROLLMENT

Session: 103rd General Assembly
Year: 2023
Bill #: HB1044
Category: Public Health, Hospital Facilities and Nursing Homes
Position: No position
Mandate? Yes
Revenue Loss?
Authority Preemption?

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Summary as Introduced

Amends the Medical Assistance Article of the Illinois Public Aid Code. Requires the Department of Healthcare and Family Services, in collaboration with the Department of Human Services, to update its eligibility verification and enrollment processing system to allow for the automatic enrollment of all eligible uninsured childless adults into the medical assistance program. Provides that under the updated processing system, hospitals, community-based organizations, and other entities approved by the Departments shall be authorized to screen and identify for medical assistance uninsured childless adults aged 19 or older, but younger than 65, who otherwise meet the eligibility requirements for medical assistance. Provides that a hospital, community-based organization, or other approved entity shall inform a Medicaid-eligible uninsured childless adult that the adult is presumptively eligible for medical assistance and offer to submit an electronic application for medical assistance on the adult's behalf. Requires the electronic application to be no longer than 2 pages in length as prescribed by the Department of Human Services. Requires the Department of Human Services to designate staff to receive and review completed electronic applications for medical assistance from hospitals, community-based organizations, or other approved entities. Requires the designated staff to verify, as soon as practical, the uninsured childless adult's eligibility for medical assistance based on the information provided in the adult's completed electronic application and without requesting additional information or attestations from the uninsured childless adult. Provides that the uninsured childless adult shall be enrolled in the medical assistance program upon verification of eligibility. Grants the Departments rulemaking authority. Requires the Department of Healthcare and Family Services to apply for any federal waivers or approvals necessary to implement the amendatory Act. Provides that implementation is subject to federal approval.



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