Illinois receives the lowest amount of federal funding per Medicaid beneficiary of all states. IHA advocates for adequate funding to serve Illinois’ most vulnerable populations and against drastic cuts.

Doctor with baby

The Impact of Medicaid in Illinois

3.2m Medicaid Beneficiaries
22.1% of inpatient admissions
21% of outpatient visits
  • Advocacy
  • Policy
Jul 23, 2020

IHA Memo re: Medicaid Reimbursement for Inpatient Days Beyond Medical Necessity

This memo summarizes IHA’s concerns about proposed rules on a new methodology for hospitals inpatient days beyond medical necessity.

Jul 22, 2020

IHA Letter re: HFS Proposed Rules on Reimbursement for Days beyond Medical Necessity

IHA raises concerns about proposed rules on a new reimbursement methodology for hospital inpatient days beyond medical necessity.

Jan 31, 2020

IHA Comment Letter on Medicaid Fiscal Accountability Regulation

IHA formally commented on the proposed Medicaid Fiscal Accountability Regulation. The proposed rule will threaten access to quality healthcare for the 2.9 million Illinoisans on Medicaid.

Jan 31, 2020

IHA Infographic on MFAR: Protect Healthcare for Children, Seniors and People with Disabilities

IHA provides facts on Illinois' Medicaid program, which is the state's healthcare safety net for 43% of all Illinois children and 461,584 Illinois seniors or persons with disabilities.

Feb 26, 2019

IHA Summary of Governor’s FY2020 Budget Proposal

The Governor’s FY2020 budget proposal does not contain any Medicaid rate or eligibility reductions.

Feb 15, 2019

IHA's Medicaid Managed Care Legislation & Advocacy Strategy

Today, a comprehensive legislative package of Medicaid managed care reform bills developed and strongly backed by IHA was introduced in the Illinois General Assembly.

Feb 15, 2019

Support Medicaid Managed Care Organization Fairness and Accountability

Senate Bill 1697/House Bill 2715 is a comprehensive approach to needed managed care reforms for fairness and accountability.

Feb 15, 2019

Support Safety Net and Critical Access Hospital MCO Reforms

Senate Bill 1807/House Bill 2814 is a comprehensive approach to needed Safety Net and Critical Access Hospital managed care reforms.

Feb 15, 2019

Support the Right to a Fair Review of Improper Medicaid MCO Denials

Senate Bill 1703/House Bill 2730 will help assure access to care for Medicaid beneficiaries by providing a fair process to review and correct improper Medicaid MCO payment denials.

Feb 28, 2018

IHA Statement re: General Assembly Votes on Hospital Assessment Program

The Illinois Health and Hospital Association commends the General Assembly for overwhelmingly approving Senate Bills 1773 and 1573.

Feb 28, 2018

Tip Sheet: Thank Your Legislators Who Voted Yes on Hospital Assessment Program

IHA urges members to publicly thank their local legislators who voted "Yes" on Senate Bills 1773 and 1573 to continue the Hospital Assessment Program.

Feb 22, 2018

Fact Sheet on SB 1773 and SB 1573: Hospital Assessment Program

IHA urges the General Assembly to approve SB 1773 and SB 1573, bipartisan legislation to redesign Illinois’ Hospital Assessment Program and enhance Medicaid managed care performance transparency.

Feb 22, 2018

IHA Summary of Governor's FY2019 Budget Proposal

Many of the Governor's proposed savings would require legislative action or changes to employee contracts.

Jan 17, 2018

Illinois is Getting Shortchanged

Illinois receives less federal funding per Medicaid beneficiary than any other state and has one of the lowest Medicaid matching rates in the country.

Aug 28, 2017

State DSH Allotment Reductions

IHA in a letter outlined strong concerns with a proposed rule establishing new policies to implement Medicaid state disproportionate share allotment reductions.

Jun 30, 2017

Litigation Update 6

Federal District Court Judge Joan Lefkow ordered the State to make Medicaid payments on a more timely basis to ensure access to care for Medicaid beneficiaries.

Dec 22, 2016

Pass-Through Payments

In a letter to the Centers for Medicare & Medicaid Services (CMS), IHA expressed concern that a proposed rule would further constrain many states’ transition of their Medicaid programs.

Sep 13, 2016

DSH Payments Third-Party Payers

IHA asked CMS for clarification on a proposed rule on Medicaid disproportionate share hospital payments and the treatment of third-party payers in calculating uncompensated care. 

Aug 12, 2015

Litigation Update 5

The House's Revenue Committee heard testimony on the Rauner Administration's plans to issue Medicaid payments in compliance with several consent decrees.

Aug 05, 2015

Litigation Update 4

The Rauner Administration has decided that all Medicaid providers statewide should be paid for services provided to all Medicaid beneficiaries—children and adults—during the budget impasse.

Aug 03, 2015

Litigation Update 3

During the state budget impasse, the Department of Healthcare and Family Services will make payments to providers serving Medicaid beneficiaries who are children.

Jul 24, 2015

Litigation Update 2

The state must continue to make all Medicaid payments for all healthcare services provided to Medicaid beneficiaries who reside in Cook County, according to an agreed-upon court order.

Jan 29, 2020

Integrated Health Homes – Comments Requested

IHA is seeking comments on the Illinois Dept. of Healthcare and Family Services Public Notice proposing to begin Medicaid coverage for Integrated Health Home services on Apr. 1.

Jan 13, 2020

Medicaid Releases Psychiatric Rate Add-ons

The Dept. of Healthcare and Family Services updated its Practitioner Fee Schedule with psychiatric service add-on payments, which were delayed. See IHA's memo on eligible procedure codes.

Dec 10, 2019

New Hospital Requirements for Child Reporting Effective January 1, 2020

On Nov. 14, 2019, SB391 passed the General Assembly in Veto Session with additional child-related hospital care coordination required for compliance by Jan. 1, 2020. IHA summarizes the new rules.

Nov 08, 2019

DCFS & HFS Managed Care Transition Plan for DCFS Youth – Member Assistance Requested

HFS and DCFS have delayed full implementation of mandatory managed care for Youth in Care of DCFS, Former Youth in Care, and other Special Needs Children from Nov. 1, 2019 to Feb. 1, 2020.

Jun 20, 2019

Medicaid Newborn Case Add-ons: Corrections and Open Cases

IHA worked with HFS to establish a standard process for hospitals to resolve long-standing newborn enrollment issues. See our memo (password required) for instructions on submitting data to HFS.

Aug 29, 2018

Integrated Health Homes-Update #1

This memo summarizes the latest information on Integrated Health Homes as shared by the Dept. of Healthcare and Family Services.

Jun 21, 2018

IHA Update: Illinois Medicaid 1115 Waiver

This memo provides several new Medicaid-related behavioral health updates.

May 22, 2018

Telehealth Recommendations Requested by HFS

IHA recommendations on Medicaid telehealth practice and reimbursement promote broad telehealth expansion. Our recommendations came at the request of the Department of Healthcare and Family Services.

Jan 26, 2018

Telehealth Coalition

IHA and a diverse group of stakeholders sent a letter to the Governor's office outlining Medicaid regulations that are limiting quality care and cost savings through telehealth.

Sep 12, 2016

Medicaid 1115 Demonstration Waiver Proposal

With a Medicaid section 1115 waiver, the state would use federal funds to shift behavioral health patients from institutional to community care settings and enhance community-based services.

Aug 26, 2016

1115 Waiver Proposal Summary

Several IHA-backed initiatives, including integrating behavioral health and physical health, are in the State's draft of its federal health transformation Medicaid section 1115 waiver proposal.

Aug 04, 2016

HHS Transformation Medicaid Waiver

State officials are working to transform how health and supportive services are provided to people with behavioral health conditions. Their plan will likely include a Medicaid 1115 waiver proposal.