When Illinois and Michigan announced a first-of-its-kind interstate agreement to share cloud technology to manage both states’ Medicaid rolls in the summer of 2013 — just as Illinois’ Medicaid program was about to expand as part of the Affordable Care Act — the two states were lauded for their innovative idea that promised to save both states money.

But an audit released last month from Auditor General Frank Mautino’s office reveals that Illinois has not been upholding its end of the bargain, and places part of the blame on the Department of Healthcare and Family Services, which manages Medicaid, as well as the Department of Human Services, the Department of Children and Family Services and the Department on Aging.

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