Models for Change Fact Sheet Series: An Overview of Illinois Medicaid and SCHIP Programs
This summary is intended to assist professionals who work in systems serving children, such as juvenile justice and child welfare. For more information about Medicaid and its key concepts as they relate to the juvenile justice system, see A Medicaid Primer for Juvenile Justice Officials.
Illinois integrates operation of its State Childrens Health Insurance Program (SCHIP) with Medicaid funded and state-only programs. As of December 2006, there were 1,873,000 adults and children enrolled in the Medicaid program, and as of June 2007 there were 175,145 children enrolled in SCHIP. In federal fiscal year 2005, Illinois made approximately $10.8 billion in Medicaid expenditures and $494 million in SCHIP expenditures. (These figures include spending for both adults and children.) The federal government supplied 50 percent of the funding for Medicaid expenditures and 65 percent for SCHIP expenditures.
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For individuals living with complex, often chronic conditions, and their families, palliative care can provide relief from symptoms, improve satisfaction and outcomes, and help address critical mental and spiritual needs during difficult times. Now more than ever, there is growing recognition of the importance of palliative care services for individuals with serious illness, such as advance care planning, pain and symptom management, care coordination, and team-based, multi-disciplinary support. These services can help patients and families cope with the symptoms and stressors of disease, better anticipate and avoid crises, and reduce unnecessary and/or unwanted care. While this model is grounded in evidence that demonstrates improved quality of life, better outcomes, and reduced cost for patients, only a fraction of individuals who could benefit from palliative care receive it. 
