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Medicare AdvantageCoverageMedium impact

Medicare-Medicaid Alignment Initiative (MMAI) - Central Illinois Region Managed Care Update

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2019
We identified it
Jun 20, 2026
Days to comply

Summary

The Medicare-Medicaid Alignment Initiative (MMAI) program is expanding back to six additional counties in Central Illinois effective July 1, 2019, with Molina Healthcare as the sole MMAI plan provider. Full dual eligible beneficiaries in these counties will receive passive enrollment packets starting in June 2019 for September 1, 2019 coverage.

Action Required

Action needed
Before July 1, 2019: Billing team must verify patient eligibility and update system to recognize Molina MMAI coverage for dual eligible patients in Christian, Logan, Macon, Menard, Piatt, and Sangamon Counties. Front desk staff should confirm patient enrollment status during scheduling as beneficiaries can opt in or out at any time.