We supply three waiver enrollment data points for each waiver program: enrollment as of the anchor date, enrollment anytime during the experience period, and claims. This allows assessment of the total number of persons who received waivers during the year; those who retained their enrollment at the end of the period; and their pattern of healthcare service use. (We have an additional field that contains information on long-term care institutionalization as of the anchor date.)
Please note that enrollment data may not represent all the people who are eligible for waivers, as some waivers have waiting lists. Additionally, the waiver enrollment process is separate from enrollment in Medicaid generally; some Medicaid recipients who are appropriate candidates for waiver services may not be enrolled in a waiver.
Please refer to item 1 of the FAQ section “Solicitation and Policy Details” for more information on the term “enrollment.”
Several waivers (Illinois HCBS Waiver for Persons with Brain Injury, Illinois Supportive Living Program waivers, and Illinois Waivers for Adults with Developmental Disabilities) will expire on June 31, 2012, and the Illinois HCBS Waiver for Children who are Medically Fragile, Technology Dependent expires on August 31, 2012. Due to the timing that coincides with CCIP's selection of proposals for new coordinated care entities.
We currently anticipate that these waivers will be renewed, but in some cases they may be substantially revised to augment fraud protections, eliminate loopholes, or to increase cost-savings. Please note that age-based eligibility criteria for some waivers may change.
We anticipate that significant updates will occur only after the close of the Solicitation period, and therefore we cannot advise partner organizations on impending changes. However, we will include any pertinent changes into the negotiation process for entities whose proposals are selected for contract.