Agencies
Services
Provider Notice issued 12/24/2025
Aetna Medicare FIDE (HMO D-SNP): Contract Number: H9771001, Health Plan Name Displayed in Medi: AETNA BETTER HEALTH SNP
Humana Dual Fully Integrated (HMO D-SNP): Contract Number: H4329001, Health Plan Name Displayed in Medi: HUMANA HEALTH PLAN INC SNP
Molina Medicare Complete Care Plus (HMO D-SNP)
Contract Number: H3093001,Health Plan Name Displayed in Medi: MOLINA HEALTHCARE OF ILLINOIS: Service area includes these counties in Illinois (Region 1 – Northwestern): Boone, Bureau, Carroll, DeKalb, Fulton, Henderson, Henry, Jo Daviess, Knox, La Salle, Lee, Marshall, Mercer, Ogle, Peoria, Putnam, Rock Island, Stark, Stephenson, Tazewell, Warren, Whiteside, Winnebago, and Woodford.
Contract Number: H3093002, Health Plan Name Displayed in Medi: MOLINA HEALTHCARE OF ILLINOIS: Service area includes these counties in Illinois (Region 2 – Central counties): Adams, Brown, Calhoun, Cass, Champaign, Christian, Clark, Coles, Cumberland, De Witt, Douglas, Edgar, Ford, Greene, Hancock, Iroquois, Jersey, Livingston, Logan, Macon, Macoupin, Mason, McDonough, McLean, Menard, Montgomery, Morgan, Moultrie, Piatt, Pike, Sangamon, Schuyler, Scott, Shelby, and Vermilion.
Contract Number H3093003, Health Plan Name Displayed in Medi: MOLINA HEALTHCARE OF ILLINOIS: Service area includes these counties in Illinois (Region 3 – Southern counties): Alexander, Bond, Clay, Clinton, Crawford, Edwards, Effingham, Fayette, Franklin, Gallatin, Hamilton, Hardin, Jackson, Jasper, Jefferson, Johnson, Lawrence, Madison, Marion, Massac, Monroe, Perry, Pope, Pulaski, Randolph, Richland, Saline, St. Clair, Union, Wabash, Washington, Wayne, White, and Williamson.
- Contract Number: H3093004, Health Plan Name Displayed in Medi: MOLINA HEALTHCARE OF ILLINOIS: Service area includes these counties in Illinois (Region 4 – Cook county): Cook.
- Contract Number: H3093005, Health Plan Name Displayed in Medi: MOLINA HEALTHCARE OF ILLINOIS: Service area includes these counties in Illinois (Region 5 – Collar counties): DuPage, Grundy, Kane, Kankakee, Kendall, Lake, McHenry, Will.
Aetna Medicare FIDE (HMO D-SNP)
1-866-600-2139 (TTY: 711)
24 hours a day, 7 days a week including holidays through March 31, 2026
1-800-238-6279
24 hours a day, 7 days a week including holidays
Pharmacy information can be found on the main website under “Materials” at the following link: https://www.aetna.com/medicare-dsnp/illinois/materials-forms-resources.html
1-866-600-2139 (TTY: 711)
24 hours a day, 7 days a week including holidays through March 31, 2026
1-800-787-3311 (TTY: 711)
Monday-Friday, 8 a.m. to 8 p.m. CST (Except Christmas & New Year's Day)
1-800-555-2546
Monday-Friday, 7 a.m. to 10 p.m. CST (Except Christmas & New Year's Day)
1-800-787-3311 (TTY: 711)
7 days per week, 8 a.m. to 8 p.m. CST through 3/31/2026 (Except Christmas Day)
855-866-5462
Monday-Friday, 8 a.m. to 6 p.m. CST (Except Christmas & New Years Day)
877-901-8181 (TTY: 711)
7 days per week, 8 a.m. to 8 p.m. CST through 3/31/2026 (Except Christmas Day)
844-536-2175
Monday-Friday, 8 a.m. to 8 p.m. CST (Except Christmas & New Year's Day)
Wellcare Meridian’s provider call center also allows for an automated eligibility verification option that is available 24/7
Providers can call the member call center to speak to a representative to verify enrollment
- Have the member ID, name, and DOB available
- Assistance will be limited to enrollment verification only
24/7 including holidays
Providers can use covermymeds to submit authorizations and review status
7 days per week, 8 a.m. to 8 p.m. CST through 3/31/2026 (Except Christmas Day)
Important Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)
| Date: | December 24, 2025 |
| To: | All Medical Assistance Program Providers |
| Re: | Important Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP) |
This notice provides updates regarding the transition of the Illinois Medicare-Medicaid Alignment Initiative (MMAI) program to fully integrated dual eligible special needs plans (FIDE SNPs) and the process for verifying FIDE SNP enrollment.
January 1, 2026 Transition
The transition of the MMAI program to FIDE SNPs will be completed effective January 1, 2026. Beginning January 1, 2026, dual members enrolled in the new program can receive health care services and prescription drugs through the FIDE SNPs.
Recipient FIDE SNP Enrollment Verification
***UPDATE: The Department’s enrollment systems are still in the process of being fully updated to reflect a member’s FIDE SNP enrollment. See below several options on how to verify if a member is enrolled in a FIDE SNP. The Department will issue an updated provider notice as soon as its systems are fully updated.
Member ID Cards
The health plans have mailed member ID cards to all FIDE SNP members. Please ask FIDE SNP members to present their ID card at the time of service. The member ID card is used to identify FIDE SNP members but does not guarantee eligibility or benefits coverage because members may disenroll from a FIDE SNP or lose Medicaid eligibility at any time. Therefore, it is important to verify member eligibility prior to rendering any service.
Recipient Eligibility Verification System (REVS) accessed via the MEDI portal and the Internet Electronic Claims (IEC) web application (updated with plan name week of 12/29/2025; currently reflects only contract number)
Providers may verify enrollment in MEDI using each health plan’s Medicare contract number identified below.
Wellcare Meridian Dual Align (HMO D-SNP): Contract Number: H6971001, Health Plan Name Displayed in Medi: MERIDIAN HEALTH PLA INC SNP
Verifying Enrollment with a Health Plan
Providers should use the health plan’s provider portal (available 24/7) as the first step to verify a member’ enrollment in a FIDE SNP. Health plans will also have extended call center hours as indicated below. See below specific information for each health plan.
Provider Call Center Information
Doctor/Prescriber Pharmacy Call Center Information
Member Call Center Information
Humana Dual Fully Integrated (HMO D-SNP)
Provider Call Center Information
Doctor/Prescriber Pharmacy Call Center Information
Member Call Center Information
Molina Medicare Complete Care Plus (HMO D-SNP)
Provider Call Center Information
Member Call Center Information & Doctor/Prescriber Pharmacy Call Center Information
Wellcare Meridian Dual Align (HMO D-SNP)
Available 1/1/2026
Provider Call Center Information
Doctor/Prescriber Pharmacy Call Center Information
Member Call Center Information
Please refer to provider notice issued November 26, 2025 and the Department’s FIDE SNP website for further information including informational and educational materials.
Please email any questions to HFS.DSNPInquiries@Illinois.gov.
Laura Phelan, Administrator
Division of Medical Programs