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Illinois Medicaid - HFSMedicare Advantage · Administrative · Provider Notice · ILHigh impact

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

Effective date
Jan 1, 2026
Identified
Jun 20, 2026

Summary

Illinois MMAI plans are transitioning to Dual Eligible Special Needs Plans (FIDE SNPs) effective January 1, 2026. Providers must establish contracts with the new FIDE SNP plans (Aetna, Humana, Meridian/Wellcare, Molina) as Blue Cross Blue Shield was not selected and will no longer serve dual eligible members.

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What to do

Action · 5 steps
01Before January 1, 2026: Billing team must establish contracts with all selected FIDE SNP plans (Aetna, Humana, Meridian/Wellcare, Molina) to continue serving dual eligible members.
02Contact current affiliated MMAI plans for FIDE SNP contracting questions.
03Update billing system to recognize new plan names and member IDs.
04Verify patient eligibility will change from MMAI to FIDE SNP coverage.
05Claims for dual eligible members without proper FIDE SNP contracts will be denied after the transition date.

Original notice

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

See all Illinois Medicaid - HFS changes →
Update: 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)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

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