DHFS-LONG-TERM CARE-ELIGIBILTY

Amends the Illinois Public Aid Code. In provisions requiring the Department of Healthcare and Family Services, the Department of Human Services, and the Department on Aging to take certain steps to achieve federally established timeframes for eligibility determinations for Medicaid and long-term care benefits, provides that notwithstanding any other provision of the Code or the Illinois Administrative Code to the contrary, for the purpose of determining Medicaid reimbursement, the Department of Healthcare and Family Services shall use the most recent income adjustments entered into the Medical Electronic Data Interchange (MEDI) System, the Recipient Eligibility Verification (REV) System, or the Electronic Data Interchange (EDI) System by a facility, which shall be presumed accurate until the Office of the Inspector General determines to the contrary. Provides that a facility shall, within 10 business days of acquiring knowledge of a change in income, enter such information into the MEDI, REV, or EDI system. Requires the facility to retain verification of the income change information it receives. Provides that in the event of an audit finding that the income adjustment entered was not accurate and that the facility benefited from the inaccuracy, a facility must be found to have entered inaccurate information with the intent to defraud in order to be subject to fines or penalties of any kind. Provides that in all instances, the facility shall be permitted the opportunity to challenge such a finding and provide documentation to the contrary.