Publications & Presentations
February 1, 2018
A resolution calling for a two-to three-month delay of the state’s Medicaid managed care expansion because of issues with nursing home contracts passed the House Human Services Committee Wednesday.

Meredith Duncan, an attorney with Polsinelli who represents several nursing homes, said the frenzy to make changes before April 1 has led to a “chaotic” situation, with inconsistencies among providers and, in some cases, “unworkable contracts."

Fred Berkowitz, regional director of Bria Healthcare, which has nine nursing homes in the Chicago area, said their concerns include changes to prior authorization and retro rate adjustments, which he said have been excluded in many of the contracts with managed care organizations.

Duncan said that communication with senior leaders at managed care organizations has been lacking.

“We need the time to get with the decision-makers and the legal entities to have the discussions to explain the impact of the language, and why there is room for us to find middle ground and make these better,” she said.

Rep. Tom Demmer, R-Dixon, cautioned lawmakers against attaching their names to a resolution that accuses the Department of Healthcare and Family Services of making threats and suggests that laws have been violated.

“It’s an oversimplification to say this is just asking for a delay,” he said. “There are a lot of things that kind of sneak by under the cover of a resolution, and I am not sure they are things the House should appropriately weigh in on.”