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  4. Integrated Care Program: Expansion Timeline and Health Plans Selected

Integrated Care Program: Expansion Timeline and Health Plans Selected 

 

The Illinois Department of Healthcare and Family Services (HFS) implemented the Integrated Care Program (ICP) on May 1, 2011, for seniors and persons with disabilities (SPD), who are eligible for Medicaid but not eligible for Medicare. The program is mandatory and currently operates in the pilot areas of suburban Cook (all zip codes that do not begin with 606), DuPage, Kane, Kankakee, Lake and Will Counties. 

The Department is pleased to announce that the ICP program will be expanded to four additional regions of the state in 2013. ICP brings together local primary care providers (PCPs), specialists, hospitals, nursing homes and home- and community-based service providers to organize care around a patient’s needs. ICP members have a choice of providers, receive better coordination of care, manage their own healthcare needs, and receive additional programs and services to help them live a more independent and healthy life.  This expansion aligns with the State’s mission to comply with Public Act 96-1501, which requires 50% of Medicaid clients to be enrolled in a form of care coordination by January 2015.

ICP in the new regions will cover both Service Package I and II:  Service Package I includes medical and behavioral health services; Service Package II includes long-term supports and services (LTSS), including nursing home care and home- and community-based (“waiver”) services. The roll-out schedule for 2013 for the ICP expansion is as follows:

4/1/13   Rockford Region (4/1/13- Service Package I, 7/1/13- Service Package II):

7/1/13   Central Illinois Region:

7/1/13   Quad Cities region:

7/1/13   Metro East region: