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October 2013 

 

Greetings from HFS Director Julie Hamos

Welcome to another periodic edition of HFS e-news to keep you updated on program changes. To register for future editions, please visit HFS E-News Online Registration or download for others who might be interested by visiting: hfs.illinois.gov/enews. If you are a Medicaid client, this newsletter is not the official notification of any changes that may impact you, and you do not have to respond in any way. This is general information for the public. Thank you,

Julie Hamos
Director, HFS

Letters of Intent from Potential Accountable Care Entities

As you know, HFS posted a solicitation for new Accountable Care Entities (ACE). As of the deadline of October 1, 2013, HFS received Letters of Intent (LOI) from 25 potential ACEs. The complete list with contact information Accountable Care Entities (ACE) Letter of Intent Summary (pdf) can be found on the HFS website. Because HFS received Freedom of Information requests for the full LOIs, we have now posted each of the ACE Letters of Intent Received and they are found on the HFS website.

We have also posted questions and answers from the August 28, 2013, Webinar, plus answers to questions received since then. If you are preparing a proposal, we strongly encourage you to review these Q&As on an ongoing basis. They can be found on the Accountable Care Entity webpage.

We are posting contact information from potential ACE applicants so that hopefully you will collaborate and combine your efforts. In order to manage a large Medicaid population, each ACE will have to have a robust network that provides primary care, specialty care, and comprehensive inpatient and outpatient services across the entire care spectrum. We do not expect that a single hospital, or a single physician group, will be able to meet that requirement. If you are an experienced Medicaid service provider, we encourage you to reach out to potential ACE applicants to join their networks.

Performance Measures for Services for Seniors and Persons with Disabilities (SPD)

The final Health and Quality of Life Performance Measures (pdf) for services for Seniors and Persons with Disabilities have been posted on the HFS website. Other performance measures will be developed for different Medicaid populations. These measures will be used for all “managed care entities” working with various Medicaid populations, whether a Managed Care Organization, Care Coordination Entity, Managed Care Community Network or new Accountable Care Entity.

Please feel free to ask questions or share comments by e-mailing: hfs.webmaster@illinois.gov