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Medicaid Impact in Illinois
Medicaid Redetermination Data Report
- Eligibility Redetermination Report - October 2023 (pdf)
- Eligibility Redetermination Report - November 2023 (pdf)
- Eligibility Redetermination Report - December 2023 (pdf)
- Eligibility Redetermination Report - January 2024 (pdf)
- Eligibility Redetermination Report - February 2024 (pdf)
- Eligibility Redetermination Report - March 2024 (pdf)
- Eligibility Redetermination Report - April 2024 (pdf)
- Eligibility Redetermination Report - May 2024 (pdf)
Annual Report
- FY - 2024 Medical Assistance Program Annual Report (pdf)
- FY - 2023 Medical Assistance Program Annual Report (pdf)
- FY - 2022 Medical Assistance Program Annual Report (pdf)
- FY - 2021 Medical Assistance Program Annual Report (pdf)
- FY - 2020 Medical Assistance Program Annual Report (pdf)
- FY - 2019 Medical Assistance Program Annual Report (pdf)
- FY - 2018 Medical Assistance Program Annual Report (pdf)
- FY - 2017 Medical Assistance Program Annual Report (pdf)
- FY - 2016 Medical Assistance Program Annual Report (pdf)
Health Benefits for Immigrant Adults/Seniors
- FY 2023 Fiscal and Enrollment Analysis: 12 Months (Updated 10/2023) (pdf)
- FY 2023 Fiscal and Enrollment Analysis: 12 months (pdf)
- FY 2024 Fiscal and Enrollment Analysis: July 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis: August 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis: September 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: October 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: November 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: December 2023 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: January 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: February 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: March 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: April 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: May 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: June 2024 (pdf)
- FY 2024 Fiscal and Enrollment Analysis and Demographics: July 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: August 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: September 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: October 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: November 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: December 2024 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: January 2025 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: February 2025 (pdf)
- FY 2025 Fiscal and Enrollment Analysis and Demographics: March 2025 (pdf)
HealthChoice Illinois Consumer Report Cards
- IL 2024 CY 2023 Healthchoice Illinois Report Card Cook County (pdf)
- IL 2024 CY 2023 Healthchoice Illinois Report Card Cook County in Spanish (pdf)
- IL 2024 CY 2023 Healthchoice Illinois Report Card Statewide (pdf)
- IL 2024 CY 2023 Healthchoice Illinois Report Card Statewide in Spanish (pdf)
- IL 2023 CY 2022 Healthchoice Illinois Report Card Cook County (pdf)
- IL 2023 CY 2022 Healthchoice Illinois Report Card Cook County in Spanish (pdf)
- IL 2023 CY 2022 Healthchoice Illinois Report Statewide (pdf)
- IL 2023 CY 2022 Healthchoice Illinois Report Statewide in Spanish (pdf)
- IL 2022 CY 2021 Healthchoice Illinois Report Card Cook County (pdf)
- IL 2022 CY 2021 Healthchoice Illinois Report Card Cook County in Spanish (pdf)
- IL 2022 CY 2021 Healthchoice Illinois Report Card Statewide (pdf)
- IL 2022 CY 2021 Healthchoice Illinois Report Card Statewide in Spanish (pdf)
- IL 2022 CY 2021 Combined Report Card Methodology (pdf)
- CY2019 HY2020 Consumer Report Card Statewide (pdf)
- CY2019 HY2020 Consumer Report Card Statewide in Spanish (pdf)
- CY2019 HY2020 Consumer Report Card Cook County (pdf)
- CY2019 HY2020 Consumer Report Card Cook County in Spanish (pdf)
- CY2018/HY2019 Consumer Report Card Statewide in Spanish (pdf)
- CY2018/HY2019 Consumer Report Card for Cook County (pdf)
- CY2018/HY2019 Consumer Report Card for Cook County in Spanish (pdf)
- CY2017/HY2018 Consumer Report Card Statewide (pdf)
- CY2017/HY2018 Consumer Report Card for Cook County (pdf)
MCO Performance Metric Dashboard Summaries
- MCO Metric Performance Dashboard Summary – QBR Q3 2024 (pdf)
- MCO Performance Metric Dashboard Summary – QBR Q2 2024 (pdf)
- MCO Performance Metric Dashboard Summary – QBR Q1 2024 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q1 2023 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q4 2022 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q3 2022 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q2 2022 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q1 2022 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q4 2021 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q3 2021 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q2 2021 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q1 2021 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q4 2020 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q3 2020 (pdf)
- MCO Performance Metric Dashboard Summary - QBR Q2 2020 pdf)
Long Term Services & Support
- Current State of LTC Determinations (pdf)
- An Independent Evaluation of the Integrated Care Program Findings from the Baseline through Year Two (FY13) (pdf)
- Second Status Report on Expedited Long Term Care Eligibility Determination and Enrollment Pursuant to 305 ILCS 5/11-5.4 (pdf)
- Status Report on Expedited Long Term Care Eligibility Determination and Enrollment Pursuant to 305 ILCS 5/11-5.4 (pdf)
Eligibility Reports
- Eligibility Backlog Reporting Second Quarter 2024 (pdf)
- Eligibility Backlog Reporting First Quarter 2024 (pdf)
- Eligibility Backlog Reporting Fourth Quarter 2023 (pdf)
- Eligibility Backlog Reporting Third Quarter 2023 (pdf)
- Eligibility Backlog Reporting Second Quarter 2023 (pdf)
- Eligibility Backlog Reporting First Quarter 2023 (pdf)
- Eligibility Backlog Reporting Fourth Quarter 2022 (pdf)
- Eligibility Backlog Reporting Third Quarter 2022 (pdf)
- Eligibility Backlog Reporting Second Quarter 2022 (pdf)
- Eligibility Backlog Reporting First Quarter 2022 (pdf)
- Eligibility Backlog Reporting January - December 2021 (pdf)
- Eligibility Backlog Reporting January - December 2020 (pdf)
- Eligibility Backlog Reporting October - December 2019 (pdf)
- Eligibility Backlog Reporting July - September 2019 (pdf)
- Ex Parte Report December 2019 (pdf)
Medicaid Redetermination (IMRP)
HFS Quality Strategy
- 2024 - 2027 Comprehensive Medical Programs Quality Strategy (pdf)
- 2021 - 2024 Comprehensive Medical Programs Quality Strategy (pdf)
- 2016 - 2018 Comprehensive Medical Programs Quality Strategy (pdf)
- 2014 - 2016 Comprehensive Medical Programs Quality Strategy (pdf)
- 2012 - 2013 Comprehensive Medical Programs Quality Strategy (pdf)
Quality Measures
External Quality Review Technical Reports
- 2024-2025 External Quality Review Technical Report (pdf)
- 2022-2023 External Quality Review Technical Report (pdf)
- 2021-2022 External Quality Review Technical Report (pdf)
- 2020-2021 External Quality Review Technical Report (pdf)
- 2019-2020 External Quality Review Technical Report (pdf)
- 2018-2019 External Quality Review Technical Report (pdf)
- 2017-2018 External Quality Review Technical Report (pdf)
- 2016-2017 External Quality Review Technical Report (pdf)
- 2014-2015 External Quality Review Technical Report (pdf)
- 2013-2014 External Quality Review Technical Report (pdf)
- 2012-2013 External Quality Review Technical Report (pdf)
- 2011-2012 External Quality Review Technical Report (pdf)
- 2010-2011 External Quality Review Technical Report (pdf)
- 2009-2010 External Quality Review Technical Report (pdf)
- 2008-2009 External Quality Review Technical Report (pdf)
- 2007-2008 External Quality Review Technical Report (pdf)
Healthcare for Women & Children
- FY - 2022 CMS-416 Reporting of EPSDT Services for Children (pdf)
- FY - 2021 CMS-416 Reporting of EPSDT Services for Children (pdf)
- FY - 2020 CMS-416 Reporting of EPSDT Services for Children (pdf)
- Medical Patient Rights of Women (Pregnancy and Childbirth) (pdf)
- FY - 2019 CMS-416 Reporting of EPSDT Services for Children (pdf)
- FY - 2018 CMS-416 Reporting of EPSDT Services for Chldren (pdf)
- FY - 2017 CMS-416 Reporting of EPSDT Services for Children (pdf)
- 2017 Children's Health Insurance (CHIP) Annual Report (pdf)
- 2017 Primary Care Case Management Annual Report (pdf)
- FY - 2016 Children's Health Insurance Program (CHIP) Annual Report (pdf)
- CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP: Illinois' Performance Calendar Years 2010 through 2014 (pdf)
- 2015 Illinois Healthy Women Final Reports March 2015 (pdf)
- Jan. 2016 Bi-Annual Report of Medicaid Services for Persons who are Medically Fragile, Technology Dependent (pdf)
- 2015 CMS-416 UPDATED Reporting of EPSDT Services for Children (pdf)
- 2015 Children's Health Insurance Program (CHIP) Annual Report (pdf)
- 2015 Primary Care Case Management Report (pdf)
- CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP: Illinois' Performance Calendar Years 2009 through 2013 (pdf)
- 2014 CMS-416 Reporting of EPSDT Services for Children (pdf)
- 2014 Children's Health Insurance Program (CHIP) Annual Report (pdf)
- CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP: Illinois' Performance Calendar Years 2011 through 2015 (pdf)
- CHIPRA Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP: Illinois’ Performance Calendar Years 2009 through 2012 (pdf)
- 2014 Primary Care Case Management Report (pdf)
- January 2014 Report of Medicaid Services for Persons who are Medically Fragile, Technology Dependent (pdf)
- 2013 CMS-416 Reporting of EPSDT Services for Children (pdf)
- Perinatal Healthcare Report to the General Assembly Pursuant to Public Act 93-0536
Transportation Physician Certification Statement Quarterly Reports
- 2025 First Quarter (pdf)
- 2024 Fourth Quarter (pdf)
- 2024 Third Quarter (pdf)
- 2024 Second Quarter (pdf)
- 2024 First Quarter (pdf)
- 2023 Fourth Quarter (pdf)
- 2023 Third Quarter (pdf)
- 2023 Second Quarter (pdf)
- 2023 First Quarter (pdf)
- 2022 Fourth Quarter (pdf)
- 2022 Third Quarter (pdf)
- 2022 Second Quarter (pdf)
- 2022 First Quarter (pdf)
- 2021 Fourth Qurater - No Reports Required Due to the COVID-19 Public Health Emergency
- 2021 Third Quarter - No Reports Required Due to the COVID-19 Public Health Emergency
- 2021 Second Quarter - No Reports Required Due to the COVID-19 Public Health Emergency
- 2021 First Quarter- No Reports Required Due to the COVID-19 Public Health Emergency
- 2020 Fourth Quarter - No Reports Required Due to the COVID-19 Public Health Emergency
- 2020 Third Quarter - No Reports Required Due to the COVID-19 Public Health Emergency
- 2020 Second Quarter - No Reports Required Due to the COVID-19 Public Health Emergency
- 2020 First Quarter (pdf)
- 2019 First Quarter (pdf)
- 2019 Second Quarter (pdf)
- 2019 Third Quartter (pdf)
- 2019 Fourth Quarter (pdf)
Veterans Care
MCO MLR Reports
- CY 2018 HealthChoice Illinois MLR Calculations Reports
- CY 2018 MMAI MLR Calculations Reports
- CY 2019 HealthChoice Illinois MLR Calculations Reports
- CY 2019 MMAI MLR Calculations Reports
- CY 2021 HealthChoice Illinois MLR Calculations Reports
- CY 2021 HealthChoice Illinois MLR Calculations Report Results (PDF)
- CY 2021 MMAI MLR Calculations Reports
- CY 2020 HealthChoice Illinois MLR Calculations Reports
- CY 2020 MMAI MLR Calculations Reports
- CY 2022 HealthChoice Illinois MLR Calculations Reports
- CY2022 MMAI MLR Calculations Reports
1115 Demonstration Waiver – Continuity of Care and Administrative Simplification Annual Reports
Misc.
- P.A. 101-0167 DCFS FY24 Transitioning Youth in Care Legislative Report
- 2025 Mental Health and Substance Use Disorder Annual Report (pdf)
- Illinois CY2023 MCPAR Report – June 2024 (pdf)
- 2024 Mental Health and Substance Use Disorder Annual Report (pdf)
- 2022-23 MH Parity Analysis Summary Report (pdf)
- 2024 Interagency Working Group on Poverty Elimination and Economic Security (pdf)
- 2023 Interagency Working Group on Poverty Elimination and Economic Security (pdf)
- Fiscal Year 2022–2023 Encounter Data Validation Report (pdf)
- IL Measurement Year (MY) 2024 P4P and P4R Program Methodology (pdf)
- Illinois 2026 Healthchoice Measurement Year (MY) 2025 P4P and P4R Program Methodology (pdf)
- IL 2025 Healthchoice Measurement Year (MY) 2024 P4P and P4R Methodology Addendum (pdf)
- IL Measurement Year (MY) 2024 HealthChoice Illinois Withhold Measures (pdf)
- IL 2025 P4P and P4R Measures (pdf)
- 2023 Mental Health and Substance Use Disorder Annual Report (pdf)
- IL 2021-22 Mental Health Parity Summary Report F1 (pdf)
- Streamlining MSP Enrollment 07/14/2022 (pdf)
- National Committee for Quality Assurance (NCQA) Medicaid Healthcare Maintenance Organization Accreditation (pdf)
- Feasibility Report for Coverage Affordability Initiatives in Illinois (April 2021) (pdf)
- Section 25 Report (pdf)
- 2020 Value Based Purchasing Report January Final (pdf)
- 2020 Green and Healthy Homes Initiative Report (pdf)
- 2019 Annual Report Working Group Regarding Treatment and Coverage of Substance Abuse Disorders and Mental Illness (pdf)
- 2015 Child Medicaid Health Plan CAHPS Report (pdf)
- PCCM-FFS Summary Data CY 2013-2014-2015 (pdf)
- Core Set of Adult Health Care Quality Measures for Medicaid (Adult Core Set): Illinois' Performance Calendar Years 2012 through 2014 (pdf)
- 2015 Medical Assistance Annual Report (pdf)
- 2014 Medical Assistance Annual Report (pdf)
- FY 2014 Adult Core Measures Report (pdf)
- 2011-2012 External Quality Review Technical Report (pdf)
- SMART Act Implementation Report (pdf)
- OIG Report on Unauthorized Use of Medical Assistance (pdf)
- HFS 2016-2018 Quality Strategy (pdf)