Managed Care Programs for Full Dual Eligible Beneficiaries in 2018

By January 1, 2018: Billing team must update patient insurance information and verify which managed care program dual eligible beneficiaries are enrolled in (HealthChoice Illinois MLTSS vs MMAI vs Original Medicare). Update billing system to route claims to correct payer - HealthChoice Illinois plans, Medicare, or Medicaid Fee-for-Service depending on service type. Verify Aetna Better Health MLTSS members have new plan assignments and Cigna-HealthSpring members have transitioned to new plans. Failure to bill correct plan will result in claim denials.