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MedicaidAdministrativeMedium impact

(SMART) Act Changes and its Affect on Managed Care Organizations

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Jul 1, 2012
We identified it
Jun 20, 2026
Days to comply

Summary

The SMART Act implemented changes to Medicaid services including reimbursement reductions and prior approval changes effective July 1, 2012. However, these changes are delayed for Managed Care Organization (MCO) enrollees until contracts are amended at a later date.

Action Required

Action needed
Monitor for future contract amendments affecting MCO enrollees in Aetna Better Health, Family Health Network, Harmony Health Plan, IlliniCare Health Plan, and Meridian Health Plan. Direct MCO-related coverage questions to the appropriate MCO using provided contact numbers. Questions about this notice should be directed to Bureau of Managed Care at 217-524-7478.