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MedicaidAdministrativeMedium impact

Succeeding in the New Managed Care Program Series (#1): What is my relationship with health plans that weren’t awarded a contract for the new program?

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Days to comply

Summary

Illinois is launching HealthChoice Illinois on January 1, 2018, replacing several existing Medicaid managed care plans. Four health plans (Aetna Better Health, Community Care Alliance, Family Health Network, and Humana Health Plan) are exiting and must continue paying all outstanding claims even after December 31, 2017.

Action Required

Action needed
By December 31, 2017: Billing team must ensure all outstanding claims to exiting plans (Aetna Better Health, Community Care Alliance, Family Health Network, Humana Health Plan, and Cigna-HealthSpring) are submitted and verified. Continue following up on unpaid claims after transition date as exiting plans remain obligated to pay verified claims. Contact Department's Bureau of Managed Care at 217-524-7478 with questions about claim resolution during transition.