Synopsis As Introduced Amends the State Finance Act and the Illinois Act on the Aging. Creates the Community Care Program Medicaid Trust Fund as a special fund in the State treasury. Provides that amounts paid to the State during each State fiscal year by the federal government under Title XIX or Title XX of the Social Security Act for services delivered in relation to the Department on Aging's Community Care Program, and any interest earned thereon, shall be deposited into the Fund. Provides that moneys in the Fund may be used by the Department on Aging for the purchase of services, and operational and administrative expenses, in relation to the Community Care Program. Effective immediately.
Replaces everything after the enacting clause. Amends the Illinois Act on the Aging. In addition to other powers and duties, provides that the Department on Aging shall have the power and duty to request, receive, and share information electronically through the use of data-sharing agreements for the purpose of (a) establishing and verifying the initial and continuing eligibility of older adults to participate in programs administered by the Department, (b) maximizing federal financial participation in State assistance expenditures, and (c) investigating allegations of fraud or other abuse of publicly funded benefits. Authorizes the Department to exchange income, identification, and other pertinent eligibility information with the Social Security Administration, the Department of Employment Security, the Department of Healthcare and Family Services, the Department of Human Services, the Department of Revenue, the Secretary of State, the U.S. Department of Veterans Affairs, and any other governmental entity for the above-referenced purposes. Requires the Department on Aging to verify employment information at the request of a community care provider for the purpose of ensuring program integrity under the Community Care Program. Provides that the Department shall increase the effectiveness of the existing Community Care Program by (i) ensuring that services are authorized accurately and consistently for the Community Care Program (CCP), the Department shall implement a Service Authorization policy directive; the purpose shall be to ensure that eligibility and services are authorized accurately and consistently in the CCP program; the policy directive shall clarify service authorization guidelines to Care Coordination Units and Community Care Program providers no later than May 1, 2013; (ii) working in conjunction with Care Coordination Units, the Department of Healthcare and Family Services, the Department of Human Services, Community Care Program providers, and other stakeholders to make improvements to the Medicaid claiming processes and the Medicaid enrollment procedures or requirements as needed, including, but not limited to, specific policy changes or rules to improve the up-front enrollment of participants in the Medicaid program and specific policy changes or rules to insure more prompt submission of bills to the federal government to secure maximum federal matching dollars as promptly as possible; the Department on Aging shall have at least 3 meetings with stakeholders by January 1, 2014 in order to address these improvements; (iii) requiring home care service providers to comply with the rounding of hours worked provisions under the federal Fair Labor Standards Act by May 1, 2013; and (iv) implementing any necessary policy changes or promulgating any rules, no later than January 1, 2014, to assist the Department of Healthcare and Family Services in moving as many participants as possible, consistent with federal regulations, into coordinated care plans if a care coordination plan that covers long term care is available in the recipient's area. Requires the Department on Aging to implement an electronic service verification based on global positioning systems or other cost-effective technology for the Community Care Program no later than January 1, 2014. Provides that the Department on Aging shall require, as a condition of eligibility under the Community Care Program, enrollment in the medical assistance program under Article V of the Illinois Public Aid Code (i) beginning August 1, 2013, if the Auditor General has reported that the Department has failed to comply with certain reporting requirements under the Illinois State Auditing Act; or (ii) beginning June 1, 2014, if the Auditor General has reported that the Department has not undertaken certain required actions. Amends the Illinois State Auditing Act. Requires the Department on Aging to file a report no later than July 1, 2013 with the Auditor General, the Governor, the Speaker of the House of Representatives, the Minority Leader of the House of Representatives, the President of the Senate, and the Minority Leader of the Senate listing any necessary amendment to the Illinois Title XIX State plan, any federal waiver request, any State administrative rule, or any State Policy changes and notifications required to implement reforms concerning the Community Care Program. Requires the Department on Aging to conduct a quarterly review of Care Coordination Unit performance and adherence to service guidelines and to collect and report longitudinal data on the performance of each care coordination unit. Amends the State Finance Act by adding a provision concerning medical payments for services rendered in a prior fiscal year. Amends the Illinois Public Aid Code. Requires the Inspector General to oversee the Department on Aging's integrity functions in relation to the Community Care Program in order to prevent, detect, and eliminate fraud, waste, abuse, mismanagement, and misconduct. Amends the Senior Pharmaceutical Assistance Act by repealing a provision creating the Senior Pharmaceutical Assistance Review Committee. Makes other changes. Effective immediately.