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New Medicaid Managed Care Organizations Announced – Effective Jan. 1
Posted on: 8/16/2017

The Rauner administration's effort to re-structure the Medicaid managed care system in Illinois hit a new milestone last week. Bids were awarded to six insurers, which will administer medical benefits to Medicaid recipients across the state.

Currently, 12 insurers manage benefits in 30 counties, covering nearly two-thirds of Medicaid recipients.  Under the new plan, 80 percent of Medicaid enrollees will be moved into managed care across every county in Illinois.

The contracts will be effective January 1, 2018. Medicaid recipients who are already in managed care will become part of one of the new plans as of January 1, while enrollees who are new to managed care will join on April 1, 2018.

The winning insurers are:

  • Blue Cross Blue Shield of Illinois
  • Harmony Health Plan
  • Molina Healthcare of Illinois
  • Meridian Health
  • IlliniCare Health Plan*
  • CountyCare**

ISMS' Medicaid Managed Care Organization Subcommittee is analyzing Medicaid policy changes that will accompany the restructured program, and will closely monitor its implementation.  ISMS will keep our members up-to-date regarding these changes as details become available.

If you have questions, please contact our member advocacy team at 800-782-4767 ext. 1470, or  by email.

*In addition to operating statewide, Illinicare will cover children in the custody of the Illinois Department of Children and Family Services

**CountyCare will operate in Cook County only



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