Agencies
Services
Provider Notice issued 07/02/10
Medical Home Health Plans Choices
| To: | All Enrolled Providers |
| Date: | July 2, 2010 |
| Re: | Medical Home Health Plans Choices |
The purpose of this notice is to inform providers of the health plan choices most HFS or All Kids medical cardholders have by county.
Most HFS or All Kids medical cardholders are required to select a Primary Care Provider and Health Plan for their medical home. Statewide, most participants must enroll in the Primary Care Case Management (PCCM) program, called Illinois Health Connect, for their medical home. Clients in the voluntary managed care counties may opt out of the PCCM program and enroll with a Managed Care Organization (MCO) for their medical home. The following chart shows the medical home health plan choices that are available to most eligible participants by county.
| Counties | Health Plan Choices |
|---|---|
| Cook County | Family Health Network (MCO) Harmony Health Plan (MCO) Illinois Health Connect (PCCM) Meridian Health Plan (MCO) |
| Jackson, Kane, Madison, Perry, Randolph, St. Clair, Washington and Williamson Counties | Harmony Health Plan (MCO) Illinois Health Connect (PCCM) |
| Adams, Brown, Henry, Mercer, Pike, Rock Island and Scott Counties | Meridian Health Plan (MCO) Illinois Health Connect (PCCM) |
| All other counties | Illinois Health Connect (PCCM) |
Questions regarding this notice should be directed as follows:
In Adams, Brown, Cook, Henry, Jackson, Kane, Madison, Mercer, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Washington and Williamson Counties:
• Illinois Client Enrollment Broker Helpline: 1-877-912-8880
• Illinois Client Enrollment Broker Web site: www.illinoisceb.com
In all other counties:
• Illinois Health Connect Provider Helpdesk: 1-877-912-1999
• Illinois Health Connect Web site: www.illinoishealthconnect.com
Theresa A. Eagleson, Administrator
Division of Medical Program