Roll-Out by Health Plans
March 2014
Illinois Health Connect (IHC)
Primary Care Case Management (PCCM) Program - outside mandatory managed care regions
Seniors and Persons with Disabilities (SPD)
Disabilities (SPD) - in mandatory managed care regions
Integrated Care Program (ICP)
Demo Area - Suburban Cook/Collar - May 2011
Mandatory Managed Care Expansion
Rockford (Aetna, IlliniCare, (CCAI) - July 2013 (SP 1 and 2)
Central IL (Molina, Meridian, Health Alliance, Macon County (CCE) - September 2013 (SP 1 and 2)
Metro East (Molina, Meridian) - September 2013 (SP 1 and 2)
Quad Cities (IlliniCare, Precedence CCE) - November 2013 (SP 1and 2)
Chicago (Greater Chicago MMAI plans & CCAI) - Expand to - Cook March 2014, Collar July 2014
Medicare Medicaid Alignment Initiative (MMAI)
March 2014 - voluntary enrollment
June 2014 - mandatory enrollment
MCOs
Greater Chicago Area
Aetna Better Health
Illini Health Plan
Meridian Health Plan of Illinois
HealthSpring of Illinois
Humana Health Plan
Blue Cross/Blue Shield of Illinois
Central Illinois
Molina Healthcare
Health Alliance Medical Plans
Managed Long Term Supports and Services (MLTSS) - All MMAI Plans
Care Coordination Innovations Projects
6 awarded (4 in Chicago area, 2 downstate) and additional projects statewide as they become available
CCEs (5)
Be Well Partners in Health (Chicago area) - February 2014
EntireCare - Healthcare Consortium of Illinois (Chicago area) - February 2014
My Health Care Coordination - Macon County (down state) - September 2013
Precedence Care Coordination (downstate) - October 2013
Together4Health (Chicago area) - February 2014
Medical Home Network (MHN)
MCCNs (1)
Community Care Alliance of Illinois (CCAI) = Subsidary of Family Health Network
Rockford - July 2013
Chicago only - March 2014
Collar Counties - July 2014
Children with Complex Health Needs (CCEs)
Statewide (growth based on capacity) - July 2014*
CCMN/CCEs
Lurie Children's Hospital - CCE
La Rabida - CCE
OSF - CCE
Children/family and Caregivers
In mandatory managed care regions - July 2014
Accountable Care Entities
Accountable Care Entities (some to begin in July 2014)
MCOs - Same regions as ICP, same MCOs as MMAI, plus Harmony and Family Health Network (FHN)
Newly Eligible Adults Under ACA (Adults 19 - 64)
in mandatory managed care regions - January 2014, all counties except Cook
July 2014, Cook County
Accountable Care Entities
Accountable Care Entities (some to begin in July 2014)
MCOs - Same regions as ICP, same MCOs as MMAI, plus Harmony and Family Health Network (FHN)
County Care (Cook County Only)
Cook County Waiver - First Enrollment - November 2012, June 2014
County Care MCCN: July 2014 (May serve SPD and Children/families)
Types of Managed Care Entities
MCOs - Accepting full-risk capitation payments
MCCNs - Provider-organized entities accepting full-risk capitation payments
CCEs - Provider organized netwokrs providing care coordination
ACEs - Provider-organized entities on a three-year path to full-risk capitation payments
Targeted start dates are in red bold