Join us on You TubeJoin us on FacebookJoin us on TwitterJoin us on InstagramJoin us on LinkedIn





YouthCare Health Plan

YouthCare Health Plan

Español
With more than three times the number of providers and more providers across nearly every major category, the Department of Healthcare and Family Services (HFS) announced that youth in the care of the Department of Children and Family Services (DCFS) will transition to the new YouthCare program on September 1st.

Enhanced YouthCare Program to Begin September 1 With Three Times as Many Providers as Current DCFS System (7/10/20)

YouthCare has been selected to coordinate the physical health, behavioral health, dental and vision care for current and former youth in care.

Former youth in care transitioned to YouthCare on February 1, 2020. Former youth in care are youth under 21 years of age who were previously under the guardianship of DCFS prior to reunification, adoption or subsidized guardianship; or cases where juvenile court closed their case and the youth are no longer under the legal custody of DCFS.

Current youth in care will transition to the same program later this year.

DCFS has worked in partnership with YouthCare to ensure this transition is as smooth as possible, without any disruptions to healthcare services.

Please refer to this site for updated information on YouthCare.

To verify that your provider is part of the YouthCare network, contact the Rapid Response Team at 844-289-2264 or ILYouthCare@Centene.com.

For six months after the rollout date, YouthCare will pay for healthcare services provided to DCFS Youth in Care even if those providers are not part of the YouthCare provider network.

YouthCare will work with out-of-network providers during this period to ask them to join the YouthCare network, develop an individual contract for the provider to serve individual or identify an alternative provider in the YouthCare network who will accept the child as a new patient.

If your current provider is no longer willing to provide services to the Youth in Care in your home once the child is enrolled in YouthCare, please contact the Advocacy Office at 800-232-3798 or DCFS.HealthPlan@illinois.gov for help immediately.

Current Youth in Care who would like to switch health plans can request a change through the DCFS Advocacy Office. Youth over 18 years of age can choose their own HealthChoice Illinois Health Plan. For youth under 18 years of age, the DCFS Guardianship Administrator can choose an alternate health plan if she determines they can be better served.

To read the Transition Plan for Illinois Child Welfare Medicaid Managed Care Implementation report, click here (1/3/2020) 

 

Child Welfare Medicaid Managed Care Implementation Advisory Workgroup
The Child Welfare Medicaid Managed Care Implementation Advisory Workgroup was established by PA100-0646 to advise the department on the transition and implementation of managed care for children. To see the meeting schedules, membership list, meeting agendas and minutes, click here.
 
For more information, read the Managed Care Fact Sheet.

Want to know more?


Please contact your health plan directly to get answers to your questions about enrollment, provider coverage, etc.

HealthChoice Illinois Health Plan Contact Information:

 

Notices to participants
Enrollment letter Sent to Former Youth in Care and Parenting Youth in Care (12/9/19)

Letter Sent to Foster Families (1/6/2020)

Letter Sent to Adoptive and Guardianship Families (1/6/2020)

Managed care implementation date extended to April 1, 2020

DCFS and HFS joint letter to Child Welfare Medicaid Managed Care Implementation Advisory Workgroup members (1/16/20)

Joint statement from HFS, DCFS and the ACLU on the managed care transition for youth in care (1/16/20)

Managed care implementation date extended to Feb. 1, 2020

DCFS Managed Care Letter to Current Youth in Care (1/30/2020)

DCFS Managed Care Letter to Current Youth in Care (3/5/2020)

Letter to caregivers announcing the delay of the transition to YouthCare (3/16/20)

Letter to youth in care regarding delay of MCO transition due to COVID-19 (5/20/20)

Managed Care Health Plan Transition FAQs for Youth in Care, 18 Years and Older

Letter to youth in care regarding transition to YouthCare on September 1, 2020 (6/30/20)

Letter to youth in care 18+ regarding transition to YouthCare on September 1, 2020 (6/30/20)

Reminder letter to youth in care regarding transition to YouthCare on September 1, 2020 (8/13/20)

Reminder letter to youth in care 18+ regarding transition to YouthCare on September 1, 2020 (8/13/20)


Need help?
For health care coverage inquiries and dispute resolution, contact the Illinois DCFS Advocacy Office for Children and Families:
800-232-3798 DCFS.HealthPlan@illinois.gov

For general questions: