SPRINGFIELD — Gov. J.B. Pritzker said Monday that people applying for Medicaid benefits in Illinois will see those applications processed more quickly, and health care providers will be paid more promptly, under a comprehensive reform bill now signed into law.
“This legislation launches one of the most aggressive, cross-agency efforts in Illinois history to expand health care access and to eliminate the multi-year Medicaid backlog once and for all,” Pritzker said during a bill-signing ceremony in Chicago.
Medicaid is a publicly-funded health insurance program for low-income families, seniors and the disabled. Established in 1966, it is jointly funded by the state and federal governments and it is the largest health insurance program in Illinois, covering nearly 3 million individuals, or nearly one quarter of the state’s population.
Illinois operates its Medicaid program under what’s known as a “managed care” model. That means people who are covered by the system enroll in a plan administered by private insurance companies, known as managed care organizations, or MCOs. Those companies, in turn, are paid a flat, monthly per-person rate, which they use to pay for each person’s medical care.
In recent years, though, the Illinois program, called HealthChoice Illinois, has been plagued with a backlog of applications from individuals trying to get into the program as well as people trying to renew their coverage.
The backlog, defined as applications that have not been processed within 45 days of their submission, peaked around 121,000 cases during former Republican Gov. Bruce Rauner’s administration and now is about 95,000.