MedicaidAdministrativeMedium impact
Health Benefits for Immigrant Adults (HBIA) and Health Benefits for Immigrant Seniors (HBIS) Programs - Transition to HealthChoice Illinois Managed Care Organizations Effective January 1, 2024
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2024
We identified it
Jun 20, 2026
Summary
Illinois HBIA and HBIS programs (immigrant adults 42-64 and seniors 65+) are transitioning from fee-for-service to HealthChoice Illinois managed care organizations starting January 1, 2024. New copayments begin February 1, 2024: $250 for non-emergency inpatient stays, $100 for non-emergency ER visits, and 10% coinsurance for outpatient hospital/ASTC services.
Action Required
By January 1, 2024: Billing team must verify all HBIA/HBIS patient eligibility in MEDI system to confirm MCO enrollment status (look for Case Type: IMMIGRANT ADULTS, FULL COVERAGE or IMMIGRANT SENIORS, FULL COVERAGE). By February 1, 2024: Update billing procedures to collect copayments from these patients - $250 for non-emergency inpatient hospitalizations, $100 for non-emergency ER visits, and 10% coinsurance for hospital/ASTC outpatient services. MCOs will automatically deduct copayments from provider payments, but FFS patients require direct collection.