Like Med Pay, Medicaid and Medicare are not subject to the Illinois Health Care Services Lien Act. They are statutory liens and need not proper service of their liens on interested parties as required under the law. Their status as lienholders is superior to other liens that may be present on the case. The biggest issue with Medicaid and Medicare liens is that their liens usually take some time to resolve. However, generally, the lien amounts are more modest than hospital and physician bills. When your attorney receives a ledger of paid benefits from Medicaid or Medicare, there is a column itemizing the charges submitted to Medicaid or Medicare and the benefits paid out. The treating facility has a contracted rate that Medicaid pays and the remaining balance is often written off or closed.