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Medicare-Medicaid Alignment Initiative
On February 22, 2013, the Illinois Department of Healthcare and Family Services (HFS) received approval from the federal Centers for Medicare and Medicaid Services (CMS) to jointly implement the Medicare-Medicaid Alignment Initiative (MMAI). The MMAI is a groundbreaking joint effort to reform the way care is delivered to clients eligible for both Medicare and Medicaid Services (called “dual eligibles”). The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014.
You can view more information on the MMAI on the Centers for Medicare & Medicaid Services Website.
Contract, MOU, and End Date Extension Letters
- Summary of Contract Changes 2019 (pdf)
- Illinois MMAI Demonstration Contract Amendment (2019) (pdf)
- Illinois MMAI Demonstration Contract (2013) (pdf)
- Illinois MMAI Demonstration Contract Amendment (2016) (pdf)
- Summary of Contract Changes 2016 (pdf)
- Illinois MMAI Demonstration Contract Amendment (Effective 01/01/18) (pdf)
- Summary of Contract Changes (Effective 01/01/18) (pdf)
- Illinois MMAI Memorandum of Understanding (pdf)
- Illinois MMAI Nonbinding Letter of Intent to Extend Demonstration End Date (2015) (pdf)
- Illinois MMAI Request to CMS to Extend the Demonstration End Date (2019) (pdf)
- Illinois MMAI Request to CMS to Expand Illinois Medicare-Medicaid Alignment Initiative Demonstration Statewide (pdf)
MMAI Transition Plan
IL MMAI RFA 2022 - 2024-24-001
MMAI Expansion
Letters to Members
- CCAI Notice for D-SNP Members Transitioning to MMAI (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to a Different MMAI Plan (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to Original Medicare and HealthChoice Illinois MLTSS (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to Original Medicare and Medicaid FFS (pdf)
- Cigna-HealthSpring Notice for D-SNP Members Transitioning to MMAI (pdf)
- WellCare Notice for D-SNP Members Transitioning to MMAI (pdf) (pdF
- Molina MMAI Health Plan Ending Notice - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina MMAI Health Plan Ending FAQ - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Cigna-HealthSpring Letter to Members about Federal Sanctions (pdf)
- Health Alliance Connect MMAI Member Termination Notice (pdf)
Fact Sheets
MMAI Flu Vaccine Campaign
Ombudsman Program
Appeals Process
HCBS Waiver Services
Additional Demonstration Drug Guidance
Plan Contact Information
Rate Reports
Quality Withhold Analysis
Demonstration Implementation
- Implementation Status- January 14, 2014
- Questions and Answers from the April 18th Medicare-Medicaid Alignment Initiative (MMAI) Stakeholder Meeting (pdf)
- MMAI Award Announcement
- MMAI Bidders (pdf)
- MMAI RFP Questions and Answers 2nd Set of Questions (pdf)
- MMAI RFP OTC/Pharmacy Specific Questions and Answers (pdf)
- MMAI RFP Questions and Answers (pdf)
- Central Illinois Area Medicare-Medicaid Alignment Initiative/2013-24-003 (pdf)
- Greater Chicago Area Medicare-Medicaid Alignment Initiative/2013-24-004 (pdf)
- Guidance for Offering Capitated Financial Alignment Demonstration Plans (pdf)
- Data Request Procedures for the Medicare-Medicaid Alignment Initiative (pdf)
- Required Data Use Agreement for Medicare-Medicaid Alignment Initiative Data (pdf)
- Data Dictionary (Providers Only) (xls)
- Frequently Asked Questions on Current Provider-Level Data (pdf)