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May 2008
 Performance Audit of the Illinois Department of Healthcare & Family
Services' Prompt Payment Act Compliance & Medicaid Payment Process
The Illinois Auditor General conducted the performance audit to evaluate
Department of Healthcare & Family Services (HFS) Medicaid claims
processing. The auditors concluded that Medicaid claims received in each
of the four past fiscal years, when added to unpaid bills carried over
from the prior year, have exceeded the funds available to pay providers
in a timely manner. On average, from fiscal year 2005 to 2007, about $1.5
billion of unpaid medical claims have been carried over into the next
fiscal year. In fiscal year 2006, it took HFS about six days to process
claims, but it took HFS 57 days to submit claims to the comptroller for
payment.
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OPEN MINDS