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Enrollment in the Health Benefits for Immigrant Adults (HBIA) program will be temporarily paused effective July 1, 2023.

Enrollment in the Health Benefits for Immigrant Seniors (HBIS) program will be temporarily paused effective Nov. 6, 2023.

Elizabeth M. Whitehorn, Director

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