The Illinois Department of Healthcare and Family Services (HFS) implemented the state’s first integrated healthcare program on May 1, 2011. The Integrated Care Program (ICP) is a program for older adults, and adults with disabilities, who are eligible for Medicaid, but not eligible for Medicare. The program is mandatory and operates in the pilot areas of suburban Cook (all zip codes that do not begin with 606), DuPage, Kane, Kankakee, Lake and Will Counties. As of February 2013, there were 36,079 individuals enrolled in the Integrated Care Program.
The Integrated Care Program brings together local primary care providers (PCPs), specialists, hospitals, nursing homes and other providers to organize care around a patient’s needs. It will keep enrollees healthy through more coordinated medical care, helping prevent unnecessary healthcare costs.
Integrated Care Program members have:
- Choices of doctors, specialists and hospitals;
- Better coordination of care, as members work with a team of providers to give them the best possible healthcare;
- Control of managing their healthcare needs, and;
- Additional programs and services to help them live a more independent and healthy life.
The Illinois Department of Healthcare and Family Services has contracted with Aetna Better Health and IlliniCare Health Plan to administer the program.
Aetna Better Health, Inc., has over 25 years’ experience in Medicaid managed care and operates programs in ten states, serving 1.2 million enrollees. This includes comprehensive care management to 277,000 older adults and adults with disabilities in nine of those states. As of February 2013, Aetna Better Health of Illinois’ provider network consisted of 57 hospitals, 2,576 primary care physicians and 4,260 specialists.
To contact Aetna Better Health call 1-866-212-2851, TDD/TTY: Illinois Relay 7-1-1, or visit the Aetna Better Health Web site.
Centene Corporation, which operates in Illinois under the name IlliniCare Health Plan, has over 25 years experience in Medicaid managed care programs in 18 states, serving 2.5 million enrollees, including older adults and persons with disabilities. As of February 2013, IlliniCare Health Plan’s provider network consisted of 63 hospitals, 2,373 primary care physicians and 5,467 specialists.
To contact IlliniCare Health Plan, call 1-866-329-4701, TDD/TTY: Illinois Relay 7-1-1, or visit the IlliniCare Web site.
More information on the Integrated Care Program can be found on the HFS Web site Managed Care.
or on Illinois’ client enrollment services Web site.
Integrated Care Program Evaluation
Integrated Care Program Expansion
We have now released the expansion timetable for the Integrated Care Program in four additional regions.
Town Hall Meeting on Medicaid Managed Care
Hosted by the GOVERNOR’S OFFICE and DEPARTMENTS OF HEALTHCARE AND FAMILY SERVICES, HUMAN SERVICES and AGING
Requested Material from Stakeholder Meetings
Proposed 1115 Waiver Demonstration Project to Cover the Uninsured in Cook County Health and Hospital System
The Illinois Department of Healthcare and Family Services (HFS), in collaboration with the Cook County Board and the Cook County Health and Hospital System (CCHHS) has requested an 1115 waiver from the Centers for Medicare and Medicaid Services (CMS), effective July of 2012, to cover the current uninsured population that will become eligible for Medicaid in 2014. While this waiver application was written with a focus on Cook County, the waiver could provide for any willing county in Illinois to participate if HFS and CMS standards are met. This waiver will allow CCHHS to decrease its uninsured population and provide funds to improve the quality, coordination, and cost-effectiveness of the care it provides. The 1115 waiver would be entirely funded by local county resources and federal matching funds for eligible services.
Managed Care Community Networks