Contact: Kevin Kavanaugh
Director of Public Affairs
(773) 478-6613
kkavanaugh@nursinghome.org

Illinois Council on Long Term Care
Illinois Health Care Association
Life Services Network of Illinois

FOR IMMEDIATE RELEASE
September 27, 2006

100% of Illinois Legislative Candidates Support Full Funding for Specialized Care in Nursing Homes

CHICAGO - One-hundred percent of the 57 state candidates responding to a recent survey believe that Illinois should fully fund the new Medicaid reimbursement system that will allow nursing homes to meet the health care needs of their medically-complex residents.

“We are very pleased that these candidates recognize the importance of strengthening the safety net of care for Illinois’ elderly and disabled citizens,” said Terry Sullivan, executive director of the Illinois Council on Long Term Care. “Illinois nursing home residents gave us their best. Now, they deserve our best.”

The Illinois Council, Illinois Health Care Association and Life Services Network of Illinois recently distributed a questionnaire about the key issues affecting the future of long term care to all state candidates running for representative and senator.

Nursing home residents have far more complex needs than a decade ago. For the past three years, the Illinois Department of Healthcare and Family Services has worked hand-in-hand with a clinical team from nursing homes around the state to develop a new, state-of-the-art clinical assessment and reimbursement system, simply called the MDS.

This patient-centered assessment emphasizes the rehabilitative care, specialized Alzheimer’s services, ventilator technology, and other high-skilled specialized care that previously required more expensive hospital settings.

“Today’s nursing homes are very different than the `rest homes’ of yesteryear,” said Dave Voepel, executive director for the Illinois Health Care Association. “Since 1986, the nursing home community has received Medicaid payments based on an outdated reimbursement model that doesn’t recognize the sophisticated medical services that nursing facilities now provide. The new MDS Medicaid model provides appropriate funding for the advanced care of today’s complex patients.”

During this past session, the legislature placed a down payment of $30 million to get this new Medicaid reimbursement system started. To phase in the rest of the system over the next four years, the long term care community will need $100 million GRF a year, which will be matched by another $100 million from the federal government.

“Under this plan, these funds will be matched with federal funds to create the $800 million necessary to finally address the treatment needs of seniors in nursing homes,” said Illinois House Minority Leader Lou Lang (D-16, Skokie). “Currently, Illinois’ Medicaid reimbursement to nursing homes is among the five lowest states in the nation. With the full funding of the new MDS reimbursement system, Illinois’ funding level will be in line with the rest of the nation.”

Dennis Bozzi, executive director of Life Services Network of Illinois said, “The old Medicaid reimbursement system froze the assessment of patient medical conditions at 1993 levels and medical costs at 1999 levels. This antiquated formula has caused complex care for seniors to be severely underfunded for years on a compounding basis. Our state candidates need to fully fund the new Medicaid reimbursement system, to ensure that nursing home residents receive the advanced health care services they deserve.”

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