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Elizabeth M. Whitehorn, Director

Managed Care Community Networks

Application for Managed Care Community Network Certification

The Illinois Department of Healthcare and Family Services (HFS) has opened the application period for entities seeking MCCN certification. HFS will consider responses from provider-led entities seeking MCCN certification that are submitted timely, conform in all material respects to the application requirements, include all mandatory attachments and supporting documentation, and meet the criteria for MCCN certification.

Applying for MCCN certification does not guarantee or imply selection for any future Medicaid managed care contract opportunities. All certification decisions will be made independently and in accordance with applicable laws and rules. For information on MCCN eligibility criteria, standards, and requirements, please refer to 89 Ill. Adm. Code 143.

The Department will review application received no later than 11:59 CDT on August 4, 2025. Applications submitted to the Department after 11:59 p.m. CDT on August 4, 2025 will not be considered. Questions regarding this application should be directed to HFS.MCCN.Certification@Illinois.gov.  

Application for MCCN Certification

A Managed Care Community Network (MCCN) is an entity, other than a Health Maintenance Organization (HMO), that is owned, operated, or governed by providers of health care services within Illinois and that provides or arranges primary, secondary and tertiary managed health care services under contract with the Department exclusively to persons participating in programs administered by the Department. The Department contracts with MCCNs, as well as other entities including HMOs, Accountable Care Entities and Care Coordination Entities, as part of its initiative to coordinate the care of Medicaid clients and move at least 50% of all clients into a coordination care system. The MCCN contract for care coordination is very similar to the HMO contracts, the only variance being the financial requirements of the MCCN. The current MCCN regulations can be viewed on Joint Committee for Administrative Rules website.