MedicaidAdministrativeHigh impact
Medicaid Managed Care Transformation
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2018
We identified it
Jun 20, 2026
Summary
Illinois is expanding Medicaid managed care to all counties starting January 1, 2018, increasing enrollment from 65% to 80% of Medicaid beneficiaries. Providers must contract directly with the selected MCOs to ensure payment for services rendered to Medicaid managed care patients.
Action Required
Before January 1, 2018: Billing team and practice administrators must initiate contract discussions with MCOs when they reach out to establish networks. Review the RFP webpage for contract award notices and transformation timelines. Failure to contract with awarded MCOs will result in no payment for services rendered to Medicaid managed care patients.