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Illinois has been one of the last holdouts in this area, favoring institutionalization, for obvious reasons. Government jobs (read, patronage jobs) abound in large institutions. Contracts for those institutions attract "campaign contributions," and our pols are always in need of those. The disabled get what's left, if anything, under our Blago.
Speaking of large institutions, one wonders if the infamous Howe Developmental Center will ever really close. Just because the highly political DHS says they are going to close it, as with any Blago-directed enterprise, doesn't mean it's so.
In part, "The Illinois Medicaid program has one of the lowest dental reimbursement rates in the nation for the most common dental procedures."
And the bottom line (same as all the other bottom lines): "Since these patients are covered by a publicly financed program, it is the responsibility of the General Assembly and the governor to adequately fund the program."
Cassandra is correct when she says that unfortunately, the state only follows through as a result of lawsuits. Seems to me that given the current budget crisis, someone was smart enough to see the savings in settling now, rather than spending more time and dollars(that Illinois doesn't have) on defending a suit that they were going to lose.
The current administration closed Howe Dev Center not because of this lawsuit, but because they need the $$.
Budgetarily, they will recoup $26M in lost Medicaid funds and then sell the Howe and Tinley Park properties for ??upteen millions.
These funds should be used to support community mental health and developmental disability sytems that have kept their heads barely above water due to the chronic under-funding of the past 20 years.
The end result from this lawsuit requires Illinois to systemically plan for closure. The feds have Choate, Kiley and the other institutions on their de-certification hit list.
Rather than wait for the next lawsuit or budget crisis, lets try and move Illinois' community disability support systems forward with some real planning and foresight.
FOIA = Stonewalling Forever