Traditional MedicareAdministrativeMedium impact
ALERT: Statewide HealthChoice Illinois Managed Long Term Services and Supports Implementation – Coverage Effective July 1, 2019
Illinois Medicaid - HFS·IL · Geriatrics, Physical Therapy, Occupational Therapy·Provider Notice
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Summary
Effective July 1, 2019, Illinois implemented statewide HealthChoice Illinois Managed Long Term Services and Supports (MLTSS) program covering dual eligible beneficiaries in nursing facilities and specific HCBS waivers. Providers must contract with HealthChoice Illinois health plans and follow specific billing procedures based on the service type.
Action Required
Immediately: Providers serving dual eligible beneficiaries in nursing facilities or HCBS waivers must sign contracts with HealthChoice Illinois health plans (Blue Cross Blue Shield of Illinois, CountyCare, IlliniCare Health Plan, Meridian Health, Molina Healthcare of Illinois, NextLevel Health). Update billing procedures to bill the appropriate entity (HealthChoice Illinois health plan, Medicare, or Medicaid Fee-for-Service) depending on the specific service provided. Review the May 14, 2019 MEDI/MLTSS provider notice for identification and billing instructions.