What is the Medicare-Medicaid alignment initiative in Illinois?
The Medicare-Medicaid Alignment Initiative started in Illinois in 2014. It operates in the Greater Chicago and Central Illinois Regions. Click here to see the counties with Medicare-Medicaid Alignment Initiative health plans.
When will Medicaid Managed Care become available in Illinois?
At the time of this writing, it is only available in the Greater Chicago and Central IL regions. However, it is set to become statewide on July 1, 2021. What is Medicaid Managed Care?
Who is eligible for Medicare-Medicaid alignment?
Eligibility Requirements for Medicare-Medicaid Alignment Program The Medicare-Medicaid Alignment Initiative is for Illinois residents (21+ years old) who are disabled or elderly and enrolled in Medicaid and Medicare (Parts A, B and D). As this program is not currently available statewide, applicants must live in a county that offers it.
Is there a person-centered care model for Medicare in Illinois?
On February 22, 2013, the Department of Health and Human Services announced that the State of Illinois will partner with the Centers for Medicare & Medicaid Services (CMS) to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.
What is Medicare called in Illinois?
The department's State Health Insurance Program (SHIP) program can answer questions about various Medicare issues, including eligibility and enrollment.
What are the Illinois Medicaid plans?
The New Medicaid Managed Care Program: HealthChoice IllinoisChoice of Health PlansRegionsHarmony Health PlanStatewideIlliniCare Health PlanStatewideMeridian HealthStatewideMolina Healthcare of IllinoisStatewide3 more rows•Jan 25, 2018
Can you have Medicare and Medicaid in Illinois?
The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a managed care program for individuals that are eligible for both Medicaid and Medicare (referred to as “dual eligibles”). MMAI combines both medical care and non-medical “home and community-based services” into a single program.
What is Illinois MMAI?
The Illinois Medicare-Medicaid Alignment Initiative (MMAI) is a demonstration designed to improve health care for dually eligible beneficiaries in Illinois.
What is Illinois Medicaid called?
HealthChoice IllinoisHealthChoice Illinois is the statewide Medicaid managed care program. Most Medicaid customers are required to choose a primary care provider (PCP) and health plan. We can help you understand your plan choices, find providers and enroll.
Which Medicaid insurance is best in Illinois?
Overall, CountyCare tied for the top rating in Illinois, with a score of 3.5. CountyCare also scored the highest in the state for preventive care and treatment, and tied for second for consumer experience. “As a provider-led plan, CountyCare focuses on member health not profits.
What is the monthly income limit for Medicaid in Illinois?
Illinois offers Medicaid coverage for people with disabilities with income up to 100% of the federal poverty level (monthly income of $1,012 for an individual) and non-exempt resources (assets) of no more than $2,000 (for one person).
What is the difference between Medicare and Medicaid?
The difference between Medicaid and Medicare is that Medicaid is managed by states and is based on income. Medicare is managed by the federal government and is mainly based on age. But there are special circumstances, like certain disabilities, that may allow younger people to get Medicare.
Is Blue Cross Blue Shield of Illinois Medicaid?
The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement Medicaid to all counties in Illinois.
How do I opt out of Mmai Il?
If you do not want to be in the MMAI program, you can opt out (decide not to enroll) by calling us at 1-877-912-8880 (TTY: 1-866-565-8576). If you get long term care or home-based waiver services, you will still need to enroll in a Long Term Services and Supports (LTSS) health plan for those services only.
Does Illinois Medicaid pay Medicare premiums?
Who is eligible to have Medicaid pay their Medicare cost sharing expenses? Your income must be less than Illinois' income limits. If your income is equal to or less than $981 per month for a single person or up to $1,328 per month for a couple, you may qualify for Medicaid to pay all of your Medicare cost sharing.
Do I qualify for Illinois Medicaid?
ACA Adults – under the Affordable Care Act (ACA), adults age 19-64 who were not previously eligible for coverage under Medicaid can now receive medical coverage. Individuals with income up to 138 percent of the federal poverty level (monthly income of $1,366/individual, $1,845/couple) can be covered.