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Family Health Population (FHP) Program - Central Illinois Region Suspension of Mandatory Managed Care Updates

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 1, 2017
We identified it
Jun 20, 2026
Days to comply

Summary

Molina Healthcare is exiting as a Medicaid managed care option in six Central Illinois counties (Christian, Logan, Macon, Menard, Piatt, Sangamon) effective May 1, 2017. Members will transition to Medicaid fee-for-service and providers must verify patient enrollment status in MEDI system on each date of service.

Action Required

Action needed
Immediately: Billing team must check MEDI system for every patient on date of service to determine if enrolled in managed care or fee-for-service. Update workflows to verify Molina members in Christian, Logan, Macon, Menard, Piatt and Sangamon counties transition to fee-for-service billing using HFS medical cards starting May 1, 2017. Train front desk staff to refer fee-for-service patients needing provider assistance to Illinois Health Connect at 877-912-1999.