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Elizabeth M. Whitehorn, Director

Provider Notice issued 06/07/12

Managed Care Health Plan Choices

​To: All Enrolled Providers​
​Date: ​June 7, 2012
​Re: Managed Care Health Plan Choices ​

The purpose of this notice is to inform providers of the health plan choices available to Healthcare and Family Services (HFS) and All Kids participants by county.

Most HFS or All Kids medical cardholders are required to select a Primary Care Provider (PCP) and Health Plan for their medical home. Statewide, most participants must enroll in the Primary Care Case Management program, called Illinois Health Connect, for their medical home. Clients living in counties where voluntary managed care is available may choose Illinois Health Connect or a Managed Care Organization for their medical home. Seniors and adults with disabilities living in the Integrated Care Program (ICP) pilot counties are required to choose a PCP in one of the Integrated Care Program Managed Care Organizations.

The following charts show the health plan choices available by county.

HFS and All Kids Participants (Excluding ICP participants)

Counties

Health Plan Choices

Cook County

Family Health Network

Harmony Health Plan

Illinois Health Connect

Meridian Health Plan

Jackson, Kane, Madison, Perry, Randolph, St. Clair, Washington and Williamson Counties

Harmony Health Plan

Illinois Health Connect

Adams, Brown, DeKalb, Henderson, Henry, Knox, Lee, Livingston, McHenry, McLean, Mercer, Peoria, Pike, Rock Island, Scott, Tazewell, Warren, Winnebago and Woodford Counties

Meridian Health Plan

Illinois Health Connect

All other counties

Illinois Health Connect

Integrated Care Program Participants Only (For older adults and adults with disabilities)

Counties

Health Plan Choices

Suburban Cook (zip codes NOT beginning with 606), DuPage, Kane, Kankakee, Lake and Will Counties

Aetna Better Health

IlliniCare Health Plan

Questions regarding this notice should be directed as follows:

For providers with patients living in counties where voluntary managed care is available [Adams, Brown, Cook, DeKalb, Henderson, Henry, Jackson, Kane, Knox, Lee, Livingston, Madison, McHenry, McLean, Mercer, Peoria, Perry, Pike, Randolph, Rock Island, Scott, St. Clair, Tazewell, Warren, Washington, Williamson, Winnebago and Woodford Counties]:

For providers with patients living in Integrated Care Program pilot counties [suburban Cook (any zip code NOT beginning with 606), DuPage, Kane, Kankakee, Lake and Will Counties]:

For providers in all other counties:

If your patients have questions regarding their health plan choices, they should call the Illinois Client Enrollment Broker who provides unbiased education on all health plans.

Theresa A. Eagleson, Administrator

Division of Medical Programs