For years, the Illinois Department of Healthcare and Family Services, or HFS, has failed to take adequate steps to ensure the people actually receiving Medicaid benefits are eligible for the program. In 2012, for example, somewhere between 15 percent and 20 percent of Medicaid files were overdue for their annual eligibility checks. The auditor general noted that...

by Jonathan Ingram Illinois law has long required that the Illinois Department of Healthcare and Family Services, or HFS, perform annual eligibility checks to ensure that those receiving Medicaid benefits were actually eligible for the program. After years of HFS failing to adequately perform these annual eligibility checks, lawmakers enacted 305 ILCS 5/11-5.2, which allowed...

The Medicaid welfare program has long been plagued with wasteful spending. The U.S. Government Accountability Office designates Medicaid as a high-risk program, largely because it is “particularly vulnerable to fraud, waste, abuse and improper payments” and has inadequate oversight to prevent wasteful spending. Indeed, the U.S. Department of Health and Human Services, or HHS, reports an improper...

One of the screwier effects of Illinois labor law was on display recently when an arbitrator ruled that the state would have to terminate its contract with Maximus Health Services. In September 2012, the state hired Maximus to review Illinois’ Medicaid rolls and remove those who were no longer eligible for benefits. The company’s investigation identified 60,000...