ABC 20 Streaming LiveWeb WatchSpotlight 20Pump PatrolRaw NewsYour Voice News SurveyIn the Kitchen

Forecast

TUESDAY: Mostly sunny. High: 92. Winds: South 10-15 mph.

TUESDAY NIGHT: Mostly cloudy with late night showers and thunderstorms. Low: 71. Winds: Southwest 5-10 mph.

WEDNESDAY: Lingering showers and a possible ...

more »

Advertise with us!

Search Results

The following is an archived video story. The text content of that video story is available below for reference. The original video has been deleted and is no longer available.

Audit Finds 60% of Medicaid Recipients Improperly Enrolled

Lawmakers created the Illinois Medicaid Redetermination Project back in 2012.

The project hired a private company, Maximus, to review Medicaid enrollments to see how many were receiving the wrong benefits, or shouldn't even be enrolled.

"I think if we go back to the root of the problem," says Republican Representative Raymond Poe, "is for the last several years, we don't have a recertification process, they mail a letter out, if you don't send it back, you stay on the rolls, we don't have a fraud investigation division no more, and so we've got several years of these things piling up."

According to the Illinois Medicaid Redetermination Project's most recent report...

out of 275,867 enrollments checked so far, 136,143 were recommended to be cancelled, and 30,969 received recommendations to change the enrollment.

That amounts to 60.5% of the enrollments.

"It shows the amount of fraud that's going on," says Republican Representative Rich Brauer, "we're looking at around 70%, and we're talking about a program that went in 5 years from 7 billion, to 15.5 billion, from an 8th of our budget, to a quarter of our budget."

The Department of Healthcare and Family Services has the final say on the enrollments.

So far the agency has acted on 190,756, determining that over 75,000 should be cancelled, and 27,377 changed.

That still amounts to 54% of the enrollments.

"I think the numbers are very accurate," says Brauer, "we had that legislative audit commission hearing the other day, and it was startling quite frankly that there is so much fraud, and it shows the need for it to continue even at a faster rate."

Illinois residents may not be surprised by the project's findings

"I think that they give the wrong people benefits, and not the right people," says fast food worker Jennifer Cronister, "and it's not fair to people like myself that work."

"I think if I had a 70% fail rating in my job," says Chuck Howell, who works in construction, "I wouldn't have a job, so."

AFSCME has filed a challenge to the hiring of the outside company to do the work.

We received a statement from AFSCME spokesman Anders Lindall that states, "The backlog in Medicaid eligibility redetermination was caused by a lack of caseworkers in the Department of Human Services. But rather than hire caseworkers, the state entered into a $77 million contract with a private company whose work has been slow, full of errors, and inefficient. DHS should simply hire the caseworkers it needs to bring the work in house and save taxpayers $18 million a year."

An arbitrator ruled in favor of the Union earlier this year, and a Legislative Hearing in Chicago will look into the matter next week.
--
Reporting in Springfield, Mike Brooks, ABC NewsChannel 20.

 
  • WICS :: News - Traffic

    Traffic

    Get up to the minute traffic reports from WICS NewsChannel 20!
  • WICS :: News - Road Trippin News

    Road Trippin News

    Missed a Road Trippin segment that ...
  • WICS :: News - Health Matters

    Health Matters

    Featuring news segment videos about health.
  • WICS :: News - In The Kitchen

    In The Kitchen

    Watch the area's best chefs whip up their tastiest creations. See them in action and get their recipes to try at home. 
  • WICS :: News - Behind The Headlines

    Behind The Headlines

    Get Behind the Headlines commentary with Mark Hyman.
  • WICS :: News - Ready, Set, Shred

    Ready, Set, Shred

    In an exclusive eight-week investigation, ABC Newschannel 20 digs deep into the Springfield police document shredding scandal.
  • WICS :: News - Pay it Forward

    Pay it Forward

    Pay It Forward... because sometimes people need a little extra help.
  • WICS :: News - Ask the Expert

    Ask the Expert

    Do you need expert advice? Here's your chance to ask our experts!
  • WICS :: News - Work Out With 20

    Work Out With 20

    Kickstart your week with a new fitness tip every Monday from ABC Newschannel 20's Natalie Sparacio and the expert instructors at FitClub in Springfield.

  • WICS :: News - Your Voice. Your Future.

    Your Voice. Your Future.

    As the country faces challenges from federal budget issues to jobs and national debt, your voice is critical to the future.
  • WICS :: News - Road Trippin

    Road Trippin

    Come Road Trippin' with us! Check out all the great attractions in your area!
  • WICS :: News - Pump Patrol

    Pump Patrol

    Check out the ABC Newschannel 20's Pump Patrol to find the lowest prices, report low prices and get gas saving tips.

  • WICS :: News - Web Watch

    Web Watch

    Here's where to find the links you hear about on the news.
  • WICS :: News - Spotlight 20

    Spotlight 20

    Local organizations and community leaders tell us about events in central Illinois.
  • WICS :: News - Raw News

    Raw News

    Watch extra news footage, full interviews, and extended stories that didn't make it on air.  "Raw News" may include content that is not suitable for children and is intended for mature audiences only.
  • WICS :: News - On the Farm

    On the Farm

    Whether it's topical segments on what's happening on local farms to commodity prices, we have the world of central Illinois agriculture covered.
  • WICS :: News - Fugitive Files

    Fugitive Files



  • WICS :: News - Home Room

    Home Room

    When's the next school board meeting? Where's the basketball game? What's for lunch today? Do we have a snow day tomorrow? We have all the information you need for a successful school year--no pencil or ...
  • WICS :: News - No Text Zone

    No Text Zone

    Texting while driving kills thousands of people each year. Many more are seriously injured.  Keep central Illinois roads safe by taking the "No Text Zone" pledge.
  • WICS :: News - Business News

    Business News

    Stay up-to-date on the biggest business stories from around the nation.
  • WICS :: News - Pet of the Week

    Pet of the Week

    The cutest video you'll see anywhere! You won't be able to resist these adorable friends who need someone to love them.
  • WICS :: News - Cruisin' Illinois

    Cruisin' Illinois

    Get your motor running! Find out about the latest events and activities for central Illinois motorcycle enthusiasts.
  • WICS :: News - Illinois Central

    Illinois Central

    Every week Illinois Central brings you the stories about the people in central Illinois. From our weekly Cruisin' Illinois segment, which features motorcycle culture, to the arts and everything in between, ...
  • WICS :: News - Waste Watch

    Waste Watch

    How are your tax dollars being spent? Waste Watch tracks whether local, state and federal governments are using your money wisely...or wasting it.
  • WICS :: News - Washington Times

    Washington Times

    Politics, Breaking News, US and World News.
  • WICS :: News - Health Care Reform

    Health Care Reform

    The Supreme Court ruling to uphold the Affordable Care Act sparked a new battle. Check here daily for the latest developments, locally and across the country.

more »

Tonight on WICS

10:00 - ABC Newschannel 20 Nightside

Complete Schedule »


WICS Pay It Forward
WICS News Team
WICS Cheers For The Years
Sunrise Team
WICS Storm Team