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Elizabeth M. Whitehorn, Director

Two Updates in Relation to the Capitated Model of the Medicare-Medicaid Financial Alignment Initiative

As of Thursday, April 26, 2012, the Illinois Department of Healthcare and Family Services (HFS) would like to provide two updates in relation to the Capitated Model of the Medicare-Medicaid Financial Alignment Initiative.

After further discussion with the Centers for Medicare and Medicaid Services (CMS), the department does not expect a Year 2 expansion of the geographic areas. The department's interest shall remain in the Year 1 geographic areas, where Plans can propose to serve one or both of the following service areas:

Greater Chicago Counties:

Cook

DuPage

Kane

Lake

Kankakee

Will

Central Illinois Counties:

Champaign

Christian

DeWitt

Ford

Knox

Logan

Macon

McLean

Menard

Peoria

Piatt

Sangamon

Stark

Tazewell

Vermilion

In addition, the department would like to clarify which Home and Community-Based Services (HCBS) Waivers will be included in this demonstration. Five of the nine HCBS Waivers the state operates are included in the demonstration, and they include:

  • Persons who are Elderly
  • Persons with Disabilities
  • Persons with HIV/AIDS
  • Persons with Brain Injury and
  • Persons residing in Supportive Living Facilities.

More information on these waivers can be found on the HFS Web site HCBS Waivers or at the following link: http://www.illinois.gov/hfs/medicalclients/hcbs/Pages/default.aspx

Julie Hamos
HFS Director