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Illinois Medicaid Expansion
Medicaid Expansion:
Illinois is fully participating in the Medicaid Expansion under provisions of the Affordable Care Act (ACA).
 
For additional background on the State’s policy decisions regarding the Medicaid Expansion option, see: Background.
 
 
Medicaid in Illinois:
The IL Department of Healthcare and Family Services administers the state’s Medicaid program.
Information about the state Medicaid program, including beneficiary information, can be found at: http://www2.illinois.gov/hfs/Pages/default.aspx.
 
Provider Participation:
Providers must enroll in the Medicaid fee-for-service program to receive payments for covered services. Information about enrolling in the Medicaid fee-for-service program can be found at: http://www2.illinois.gov/hfs/Pages/default.aspx.
The IL Medicaid website provides information about services covered by fee-for-service payments and payment amounts: http://www2.illinois.gov/hfs/Pages/default.aspx.
In order to retain access to all Medicaid patients in the state, providers must also connect to the managed care plans individually.

 
Medicaid Managed Care:
Some IL Medicaid beneficiaries are enrolled in managed care plans. Basic information can be found at: http://www2.illinois.gov/hfs/ManagedCare/Pages/default.aspx.
Some managed care plans cover individual Illinois counties and independent cities. The Medicaid website has jurisdictional information: http://www2.illinois.gov/hfs/Pages/default.aspx.

Medicaid Beneficiaries Participating in Managed Care:
Managed care plans participating in the managed care program offer detailed information about covered benefits for individuals enrolling in their plans. This information is available on the managed care websites shown below.


Reporting Problems

The state Medicaid office is primarily responsible for examining and addressing issues with the Medicaid Managed Care plans offered in the state, and for working with the companies that offer them. If you are experiencing problems as a medical provider with the Managed Care plans or companies operating in the state, or if your patients are experiencing problems with the Managed Care plans or companies in the state, including trouble with access to medications, access to preferred providers, navigating the appeals process, excessive costs, or possible discriminatory policies, or any other problems related to the Affordable Care Act, please report these problems to the state Medicaid Office: 
 
Illinois Medical Assistance Program:
www.hfs.illinois.gov/
800-843-6154
 
Additionally, if you are experiencing these or other problems, please report these problems to AAHIVM, so that we may track issues affecting our members, and seek additional policies remedies. 

Managed Care Plans Participating in Medicaid:
Aetna Better Health
Provider Enrollment: http://www.aetnabetterhealth.com/Illinois/providers/provider-resources/faqs/
 
Family Health Network
Plan Website: http://www.fhnchicago.com/
Provider Enrollment: http://www.fhnchicago.com/contactus.html
 
Harmony Health Plan
 
Plan Website: https://www.harmonyhpi.com/
Provider Enrollment: https://www.harmonyhpi.com/prospective_providers/new
 
Health Alliance Medical Plans (Medicare Medicaid Alignment Initiative)
Plan Website: https://www.healthalliance.org/
Provider Enrollment: https://www.healthalliance.org/content/Customer_Center/HCProfessionals
 
Health Care Service Corporation (Blue Cross Blue Shield of IL) (Medicare Medicaid Alignment Initiative)
Provider Enrollment: http://www.bcbsil.com/provider/network/join_bcbsil_network.html
 
HealthSpring of IL (Cigna) (Medicare Medicaid Alignment Initiative)
Provider Enrollment: http://www.myhealthspring.com/Plans
 
Humana Medical Plan, Inc. (Medicare Medicaid Alignment Initiative)
Plan Website: https://www.humana.com/medicare/
Provider Enrollment: https://www.humana.com/provider/
 
Illinicare Health Plan
Plan Website: http://www.illinicare.com/
Provider Enrollment: http://www.illinicare.com/for-providers/become-a-provider/
 
Meridian Health Plan
Plan Website: http://www.mhplan.com/il/corporate/index.php?location=corporate&page=home
Provider Enrollment: http://www.mhplan.com/index.php?page=providerhelp&stateAbbrv=IL
 
Molina Healthcare of IL (Medicare Medicaid Alignment Initiative)
Plan Website: http://www.molinahealthcare.com/Pages/index.aspx
Provider Enrollment: http://www.molinahealthcare.com/medicaid/providers/il/Pages/home.aspx
 
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