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Provider Notice Issued 02/23/2021
Date: February 23, 2021
Re: Illinois Medicare-Medicaid Alignment Initiative Statewide Expansion July 1,2021
As noted in the December 16, 2020 provider notice, theMedicare-Medicaid Alignment Initiative (MMAI) program will be expanding statewide effective July1, 2021. Providers of all specialties and localitiesare strongly encouraged to join the multiple MMAI plan networks as soon aspossible to participate in the statewide MMAI program.
Expanding the MMAI demonstration statewide willprovide all full dual eligible beneficiaries in every Illinois county with theopportunity to receive their Medicare Parts A and B benefits, Medicare Part Dbenefits, and Medicaid benefits from a single Medicare-Medicaid Plan, alsoknown as MMAI plan.
MMAIProgram
The MMAI program brings together Medicare, Medicaidand prescription drug benefits into one health plan. Most MMAI health plansalso offer extra benefits such as more dental care and lower prescriptionco-pays. All MMAI health plans have care coordination to manage all thehealthcare and long-term services and supports of enrollees.
Whyshould I participate in MMAI as a contracted provider?
MMAI aligns with Illinois’ overall efforts toprovide higher quality and more coordinated care, including:
• Better care througha clinically integrated, person-centered care model;
• Better value bysupporting reimbursement models that focus on quality, not quantity, throughfinancial incentives; and
• Better health forthe individual through flexible benefits aimed at providing the right care, atthe right time, in the right place.
Contractingwith Participating MMAI Illinois Plans
Providers are encouraged to join the MMAI plannetworks as soon as possible to participate in the statewide MMAI program. Contractingis also important for timely payment and continuity of care. As a networkprovider, you will be able to provide care to new and existingMedicare-Medicaid dually eligible patients while benefitting from simplerreimbursement systems and a team-based approach to care.
Pleasecontact the representatives listed below to learn more about how you can becomean MMAI network provider.
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Aetna Better Health of Illinois Name: Gary Wagner Title: IL MMP Network Manager Email: WagnerG@aetna.com Phone: 331-223-2594 |
BlueCross BlueShield of Illinois Name: Rory Burke Title: Manager Divisional Strategy Email: Rory_Burke@bcbsil.com Phone: 312-653-2345 |
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Humana Inc. Name: Erin Maday Title: Medicaid Consultant Email: esmith35@humana.com Phone: 847-736-9031 |
Meridian Complete Name: Alicia Landrum, MBA Title: Contract Negotiator III, Network Operations Email: alicia.landrum@centene.com Phone: 773-354-9544 |
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Molina Health Plan Name: Natalie Kasper Title: Director, Provider Contracting Email: Natalie.Kasper@molinahealthcare.com Phone: 262-271-6525 |
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Questions regarding this notice may be directed tothe Department’s Bureau of Managed Care at
217-524-7478 or HFS.MMAI@Illinois.gov
Kelly Cunningham, Administrator
Division of Medical Programs