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MedicaidAdministrativeMedium impact

Participation in the Managed Long Term Services and Supports (MLTSS) Program

Illinois Medicaid - HFS·IL · Geriatrics, General Practice·Provider Notice
Effective date
Jul 1, 2016
We identified it
Jun 20, 2026
Days to comply

Summary

Beginning July 1, 2016, dual-eligible beneficiaries in the Greater Chicago Region who opt out of MMAI will be mandatorily enrolled in the MLTSS program for long-term services and supports. HCBS waiver providers must contract with MLTSS MCOs to continue serving these patients, or patients will be transferred to in-network facilities.

Action Required

Action needed
By July 1, 2016: Long-term care facilities and HCBS waiver providers in Greater Chicago Region must establish contracts with MLTSS MCOs to continue serving dual-eligible patients. Contact MCOs directly to negotiate participation agreements. Facilities that do not contract risk having patients transferred to in-network providers.