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Important Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)
Act
immediately
Effective date
Jan 9, 2026
Identified
Jun 20, 2026
Summary
Illinois is transitioning Medicare-Medicaid Alignment Initiative (MMAI) members to Dual Eligible Special Needs Plans (D-SNPs). When the MEDI system shows both a FIDE SNP and HCI plan, providers must submit claims to the FIDE SNP, not the HCI plan listed in the Managed Care Organization section.
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What to do
immediately · 4 steps
01Billing team must check MEDI enrollment verification for all dual eligible members.
02When both FIDE SNP (in Medicare Advantage section) and HCI plan (in Managed Care section) are listed, submit claims to the FIDE SNP only.
03Verify enrollment monthly with FIDE SNPs as members can switch plans monthly.
04Contact HFS.DSNPInquiries@Illinois.gov for questions.
Original notice
Important Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)
hfs.illinois.gov · Always check the source before changing claims.
Related changes
See all Illinois Medicaid - HFS changes →Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)HighEffective Jan 1, 2026 · Provider NoticeUpdate: Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)MediumNo effective date · Provider NoticeImportant Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)HighEffective Jan 1, 2026 · Provider NoticeImportant Updates on the Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)MediumEffective Jan 20, 2026 · Provider NoticeBrowse every Illinois Medicaid - HFS change in the policy list