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Elizabeth M. Whitehorn, Director

Provider Notice Issued 10/02/2025

        

To: All Medical Assistance Program Providers
​Date: October 2, 2025
​Re:
 Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP) 

The Illinois Medicare-Medicaid Alignment Initiative (MMAI) program will transition to dual eligible special needs plans (D-SNPs) effective January 1, 2026 as federally required by the Centers for Medicare & Medicaid Services (CMS). All current MMAI members will remain in their MMAI plans until December 31, 2025 unless they take action to disenroll themselves from the MMAI plans.  

There are different types of D-SNPs. The D-SNP model available in Illinois is called the fully integrated dual eligible special needs plan (FIDE SNP). FIDE SNPs will be the only type of D-SNP model available in Illinois because they are the most like MMAI plans in that they provide the same level of care coordination and integration of Medicare and Medicaid benefits included in the MMAI plans.  

Through a competitive procurement process, Illinois has chosen the following managed care plans to deliver services to dually eligible members through a FIDE SNP:

  • Aetna 

  • Humana 

  • Meridian/Wellcare 

  • Molina

 

Blue Cross Blue Shield (BCBS) was not chosen as a FIDE SNP.

Providers must have a contract with each FIDE SNP. During this transition period, please contact the affiliated MMAI plans for FIDE SNP questions related to provider contracting. 

See the HFS FIDE SNP webpage for more information:

 

Please email any questions to HFS.DSNPInquiries@Illinois.gov.

 

Laura Phelan, Administrator
Division of Medical Programs