Elwell to step down as Medicaid director Feb 10, 2020 | Medicaid/Medicare, Top Stories Saying it was time “to make the change," Illinois Medicaid Director Doug Elwell said Friday that he plans to step down at the end of this week.To access this content, you must purchase 1 Year Health News Illinois Subscription or 1 Year Group Subscription - Up to 5 Users, or log in if you are a member.