Start free

PolicyChanges tracks payer policy changes for medical practices and tells you what to do before they take effect.

Create a free accountPolicy Monitoring is free. No card required.
← Back to list
Illinois Medicaid - HFSMedicare Advantage · Administrative · Provider Notice · IL · GeriatricsMedium impact

Update: Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)

Act
immediately
Effective date
Not stated in the notice
Identified
Jun 20, 2026

Summary

Illinois is transitioning Medicare-Medicaid Alignment Initiative (MMAI) programs to Dual Eligible Special Needs Plans (D-SNP) with four participating plans. Long-term care providers need to verify their network status and use new plan codes in eligibility verification systems.

Get alerts when payers change rules like this one

We check Illinois Medicaid - HFS and other payers every day and email you when a change matches your specialty and state.

Get Illinois Medicaid - HFS alertsPolicy Monitoring is free. No card required.

What to do

immediately · 3 steps
01Long-term care providers must confirm their FIDE SNP network status with each health plan (Aetna, Humana, Meridian, Molina).
02Update eligibility verification systems to use new SNP plan codes: Aetna (23), Humana (10), Meridian (19), Molina (25) with site number 001 and exclusion code 2 for all plans.
03Contact affiliated MMAI plans for contracting questions or email HFS.DSNPInquiries@Illinois.gov for guidance.

Original notice

Update: Medicare Medicaid Alignment Initiative (MMAI) transition to Dual Eligible Special Needs Plan (D-SNP)
hfs.illinois.gov · Always check the source before changing claims.
View original ↗

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 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)HighEffective Jan 9, 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

Related policy hubs

Illinois Medicaid - HFS policiesIL policy changesGeriatrics

Summaries are AI-assisted. Always confirm against the original payer notice.

What is PolicyChanges

One workspace for payer rules, prior auth, coding and compliance

Medical practices use PolicyChanges to catch payer changes before they cause denials. Every change is summarized in plain English, with the codes involved, the date it takes effect and what to do.

Policy MonitoringPayer policy, prior auth and coding changes, filtered to your saved searchesOIG ScreeningStaff and vendors screened every month against OIG LEIE, SAM.gov and state Medicaid listsPrior Auth LookupKnow if a service needs prior authorization before you schedule itCredentialing TrackerLicenses, CAQH, Medicare revalidation and payer enrollments, with reminders before anything lapsesCompliance CenterKeep your HIPAA program documented and ready to show
Start freePolicy Monitoring is free. No card required.
Get alerts for changes like thisPolicy Monitoring is free. No card required.Create a free account