Capitol Fax.com - Your Illinois News Radar » HFS responds
SUBSCRIBE to Capitol Fax      Advertise Here      About     Exclusive Subscriber Content     Updated Posts    Contact Rich Miller
CapitolFax.com
To subscribe to Capitol Fax, click here.
HFS responds

Thursday, Aug 3, 2023 - Posted by Rich Miller

* Background is here if you need it. From Illinois Department of Healthcare and Family Services spokesperson Jamie Munks…

Rich,

Wanted to share some additional information about the efforts taking place to support Illinois Medicaid customers whose redeterminations are coming due, as well as make you aware of some national data that federal CMS released last week:

For nearly a year prior to the announcement of the end of the federal public health emergency, HFS was conducting outreach to customers about ensuring their addresses are up-to-date with the Illinois Medicaid program so their redetermination materials are mailed to the correct location when their renewal date is approaching and engaging and preparing with partners: the Medicaid Managed Care Organizations (MCOs), health care providers, community organizations, etc. The state of Illinois has been working closely with federal partners and has taken advantage of significant federal flexibilities that have been offered to states to minimize coverage loss.

The federal Centers for Medicare and Medicaid Services released Medicaid renewal data last week, including a national breakdown of coverage renewed, coverage terminated and renewals pending. Per the federal data: 2,216,287 Medicaid beneficiaries were due for renewal in the reporting month. Of those:

    • 1,009,164 beneficiaries – coverage renewed (45.5%)
    • 714,894 beneficiaries – coverage terminated (32.2%)
    • 492,229 beneficiaries – renewal pending (22.2%)

You can find more information here.

-Earlier this year, the state launched a multi-platform outreach campaign, Ready to Renew, that includes paid advertisements, print, digital and broadcast communication, and grassroots outreach to help Medicaid customers ensure they are ready for required upcoming coverage renewals. The primary goal of the Department’s Ready to Renew campaign is to help Medicaid customers who remain eligible ensure their coverage continues without disruption. HFS has created a Ready to Renew Toolkit in multiple languages so that anybody who interacts with Medicaid customers can easily and regularly use the key messages and materials provided to help reach Medicaid customers. CPS has also had a campaign running since early May and is still running on CTA, Community Billboards, Interstate Billboards, leaflets in backpacks, text messaging and emails.

-Prior to that, in anticipation of redeterminations resuming, HFS conducted an outreach campaign in partnership with hundreds of local organizations to reach Medicaid customers about the importance of ensuring their contact information on file with the Illinois Medicaid program is current, so that their redetermination materials reach them in the correct location.

-HFS and the MCOs are conducting targeted outreach to customers whose renewals are coming due, via mail, email and text messaging. In partnership with the federal Centers for Medicare and Medicaid Services, HFS has implemented a new flexibility to minimize the loss of medical coverage for customers during the redetermination process. The new flexibility permits the delay of procedural terminations for one month for customers who did not return their redetermination by their due date. During the one-month grace period, additional outreach is being conducted to encourage customers to return their Medicaid redetermination. HFS has also re-initiated the 643RNW Courtesy Renewal Form – Follow Up Letter to remind customers to submit their redetermination. Some details of the letter are as follows:

    • Will be generated by the 20th of each month when a customer’s redetermination has not been received by their due date.
    • Will remind customers to return their completed Form B redetermination.
    • Will remind customers of the ways in which they can renew their medical coverage.
    • Will provide the customer an opportunity to indicate a reason, if they do not wish to continue receiving medical coverage.

-The Department has provided a training series that reached well over 1,000 partner agency staff who connect with Medicaid customers on a daily basis. HFS has also been working closely with the Illinois Hospital Association to ensure information and training is disseminated through those channels.

-The best thing all customers can do to ensure they are ready to renew their coverage is:

    1. Visit abe.illinois.gov and click Manage My Case to set up their online account.
    2. Verify that their current address is on file to ensure that their redetermination materials will reach them. This is critical because they may need to provide more information to determine whether they remain eligible for continued coverage, which they will need to do before their due date.
    3. Look up their due date so they know when to expect their redetermination materials. Customers can also now check their renewal due date using the Automated Voice Response System. Customers must know their Recipient Identification Number, or RIN, their nine-digit medical card number. The client line is 855-828-4995, and is available in English and Spanish, 24 hours a day. Customers can find their nine-digit RIN on their medical card from HFS, and customers enrolled in a managed care plan can also find their RIN on their MCO ID card. Customers on the client line can also transfer to the Health Benefits Hotline during business hours to obtain their RIN.

Discuss.

       

10 Comments
  1. - Dan Johnson - Thursday, Aug 3, 23 @ 8:44 am:

    If redetermination is based on income, and ides has everyone’s income, shouldn’t the state do this automatically?


  2. - DHS Drone - Thursday, Aug 3, 23 @ 9:21 am:

    Not all income is in IDES AWVS system. Some people get paid in cash. Some people are self-employed.


  3. - Friendly Bob Adams - Thursday, Aug 3, 23 @ 9:22 am:

    Most large employers are required to report wages to IDES monthly. Smaller employers report quarterly. Wages for farm workers are reported differently. So depending on the employer, the wages on the IDES system may not be current.


  4. - Perrid - Thursday, Aug 3, 23 @ 9:24 am:

    Also family situations may change in any number of ways. HFS (or DHS technically, I believe) can and does automatically renew some people, but it’s not the majority.


  5. - Perrid - Thursday, Aug 3, 23 @ 9:49 am:

    Found this from 2019, about “ex parte” redeterminations - the type of automatic redes Dan talked about. I think it’s been expanded some by the General Assembly the last few years. https://hfs.illinois.gov/content/dam/soi/en/web/hfs/sitecollectiondocuments/expartereportdecember2019.pdf


  6. - Dan Johnson - Thursday, Aug 3, 23 @ 10:13 am:

    Thank you commentators. This is like a good subject matter hearing. (no snark)


  7. - Honeybear - Thursday, Aug 3, 23 @ 10:22 am:

    One important point
    DHS Department of Human Services is the Department who is determining, redetermining and maintaining eligibility.
    If someone needs help in redetermining their Medicaid they can go their local DHS Family Community Resource Center ( FCRC )
    You can also do your Rede by phone by calling your local FCRC.
    It’s super easy
    And you’ll talk to a nice and helpful caseworker like me. :)
    Although redetermination is new to those who are new to Medicaid
    It is not difficult and there’s a lot of help available by phone and in person.


  8. - New Day - Thursday, Aug 3, 23 @ 11:33 am:

    HFS is handling a difficult national situation professionally and as well as possible under the rules. We’ve always known that at some point the Covid rules were going to end and a lot of people would, unfortunately, be thrown off of Medicaid. It stinks.


  9. - Honeybear - Thursday, Aug 3, 23 @ 12:59 pm:

    New day, nobody is being “thrown off Medicaid”.
    Folks are told upfront that they have a responsibility to report changes and provide verifications if necessary. There is nothing arbitrary, capricious or malicious about it. I hate to sound like a Republican harping about personal responsibility but all recipients of Medicaid have a responsibility to cooperate with the redetermination process. It’s done with total fairness and dignity. It takes a Social Services Career Trainee a whole year to learn all the rules, regulations and procedures involved in determining and maintaining eligibility before they are promoted to a Human Services Caseworker.
    I actually take offense at the characterization that folks are being “thrown off” Medicaid. DHS is as serious as sepsis about treating every customer with dignity and worth.
    Nobody is thrown off medicaid.
    They can become ineligible for any number of reasons but please stop with righteous indignation and Pearl clutching.
    It only maligns the DHS workers who although dangerously understaffed, still treat our customer with great dignity and worth doing the very technical job of determining and maintaining benefits. The vast majority of cases are actually not automatically processed but are certified by a HSC or SSCT under supervision.
    Meaning that a caseworker is making sure that it’s just and fair.


  10. - Raising Kane - Thursday, Aug 3, 23 @ 2:48 pm:

    I think HFS is doing a pretty good job. They used the Covid period to work on integrating other state data into the redetermination process which has drastically increased members who are automatically redetermined.

    As a result of its efforts, Illinois numbers are better than most states. The Kaiser Family Foundation has a great state tracking tool, based on the current results, most states would envy Illinois numbers. Everyone knew this would be a difficult process but HFS deserves some credit.


Sorry, comments for this post are now closed.


* Your moment of zen
* Isabel’s afternoon roundup
* Illinois receives $430 million federal pollution reduction grant
* Today's quotable
* The Internet is forever, Rodney
* Edgar Fellows Class of 2024 unveiled
* Uber Partners With Cities To Expand Urban Transportation
* Governor Pritzker endorses Kamala Harris for president (Updated)
* Mayor Johnson's actual state ask is $5.5 billion, and Pritzker turns thumbs down
* Open thread
* Isabel’s morning briefing
* SUBSCRIBERS ONLY - Today's edition of Capitol Fax (use all CAPS in password)
* Selected press releases (Live updates)
* Pritzker, Durbin, Duckworth so far keeping powder dry on endorsing VP Harris (Updated x7)
* Biden announces withdrawal from reelection (Updated x3)
* Yesterday's stories

Support CapitolFax.com
Visit our advertisers...

...............

...............

...............

...............


Loading


Main Menu
Home
Illinois
YouTube
Pundit rankings
Obama
Subscriber Content
Durbin
Burris
Blagojevich Trial
Advertising
Updated Posts
Polls

Archives
July 2024
June 2024
May 2024
April 2024
March 2024
February 2024
January 2024
December 2023
November 2023
October 2023
September 2023
August 2023
July 2023
June 2023
May 2023
April 2023
March 2023
February 2023
January 2023
December 2022
November 2022
October 2022
September 2022
August 2022
July 2022
June 2022
May 2022
April 2022
March 2022
February 2022
January 2022
December 2021
November 2021
October 2021
September 2021
August 2021
July 2021
June 2021
May 2021
April 2021
March 2021
February 2021
January 2021
December 2020
November 2020
October 2020
September 2020
August 2020
July 2020
June 2020
May 2020
April 2020
March 2020
February 2020
January 2020
December 2019
November 2019
October 2019
September 2019
August 2019
July 2019
June 2019
May 2019
April 2019
March 2019
February 2019
January 2019
December 2018
November 2018
October 2018
September 2018
August 2018
July 2018
June 2018
May 2018
April 2018
March 2018
February 2018
January 2018
December 2017
November 2017
October 2017
September 2017
August 2017
July 2017
June 2017
May 2017
April 2017
March 2017
February 2017
January 2017
December 2016
November 2016
October 2016
September 2016
August 2016
July 2016
June 2016
May 2016
April 2016
March 2016
February 2016
January 2016
December 2015
November 2015
October 2015
September 2015
August 2015
July 2015
June 2015
May 2015
April 2015
March 2015
February 2015
January 2015
December 2014
November 2014
October 2014
September 2014
August 2014
July 2014
June 2014
May 2014
April 2014
March 2014
February 2014
January 2014
December 2013
November 2013
October 2013
September 2013
August 2013
July 2013
June 2013
May 2013
April 2013
March 2013
February 2013
January 2013
December 2012
November 2012
October 2012
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
January 2012
December 2011
November 2011
October 2011
September 2011
August 2011
July 2011
June 2011
May 2011
April 2011
March 2011
February 2011
January 2011
December 2010
November 2010
October 2010
September 2010
August 2010
July 2010
June 2010
May 2010
April 2010
March 2010
February 2010
January 2010
December 2009
November 2009
October 2009
September 2009
August 2009
July 2009
June 2009
May 2009
April 2009
March 2009
February 2009
January 2009
December 2008
November 2008
October 2008
September 2008
August 2008
July 2008
June 2008
May 2008
April 2008
March 2008
February 2008
January 2008
December 2007
November 2007
October 2007
September 2007
August 2007
July 2007
June 2007
May 2007
April 2007
March 2007
February 2007
January 2007
December 2006
November 2006
October 2006
September 2006
August 2006
July 2006
June 2006
May 2006
April 2006
March 2006
February 2006
January 2006
December 2005
April 2005
March 2005
February 2005
January 2005
December 2004
November 2004
October 2004

Blog*Spot Archives
November 2005
October 2005
September 2005
August 2005
July 2005
June 2005
May 2005

Syndication

RSS Feed 2.0
Comments RSS 2.0




Hosted by MCS SUBSCRIBE to Capitol Fax Advertise Here Mobile Version Contact Rich Miller