MedicaidAdministrativeHigh 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
Summary
Illinois is transitioning from existing Medicaid managed care plans to a new program called HealthChoice Illinois effective January 1, 2018. Five health plans (Aetna Better Health, Community Care Alliance, Family Health Network, Humana Health Plan, and Cigna-HealthSpring) are exiting and must continue paying outstanding claims even after December 31, 2017.
Action Required
By December 31, 2017: Illinois providers should continue submitting claims to exiting Medicaid plans (Aetna Better Health, Community Care Alliance, Family Health Network, Humana Health Plan, and Cigna-HealthSpring) as normal through the transition. After January 1, 2018: Update billing systems to reflect new HealthChoice Illinois managed care contracts. Monitor payment of outstanding claims from exiting plans - they remain obligated to pay verified claims even after exit date.