MedicaidAdministrativeHigh impact
Care Coordination Expansion
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jan 1, 2015
We identified it
Jun 20, 2026
Summary
Illinois Medicaid is expanding care coordination programs across multiple regions, requiring at least 50% of Medicaid beneficiaries to enroll in risk-based managed care by January 1, 2015. Providers must contract with specific MCOs in their regions to ensure payment for Medicaid patients enrolled in these programs.
Action Required
Before January 1, 2015: Billing team must identify which MCOs serve your practice's counties and contract with those health plans to ensure continued Medicaid payments. Contact the specific MCOs listed for your region using the provided contact information. Without MCO contracts, Medicaid claims for patients enrolled in ICP, MMAI, and CCE programs will not be paid.