Date: February 23, 2021
To: All Medical Assistance Program Providers
Re: Illinois Medicare-Medicaid Alignment Initiative Statewide Expansion July 1,
As noted in the December 16, 2020 provider notice, the
Medicare-Medicaid Alignment Initiative (MMAI) program will be expanding statewide effective July
1, 2021. Providers of all specialties and localities
are strongly encouraged to join the multiple MMAI plan networks as soon as
possible to participate in the statewide MMAI program.
Expanding the MMAI demonstration statewide will
provide all full dual eligible beneficiaries in every Illinois county with the
opportunity to receive their Medicare Parts A and B benefits, Medicare Part D
benefits, and Medicaid benefits from a single Medicare-Medicaid Plan, also
known as MMAI plan.
The MMAI program brings together Medicare, Medicaid
and prescription drug benefits into one health plan. Most MMAI health plans
also offer extra benefits such as more dental care and lower prescription
co-pays. All MMAI health plans have care coordination to manage all the
healthcare and long-term services and supports of enrollees.
should I participate in MMAI as a contracted provider?
MMAI aligns with Illinois’ overall efforts to
provide higher quality and more coordinated care, including:
• Better care through
a clinically integrated, person-centered care model;
• Better value by
supporting reimbursement models that focus on quality, not quantity, through
financial incentives; and
• Better health for
the individual through flexible benefits aimed at providing the right care, at
the right time, in the right place.
with Participating MMAI Illinois Plans
Providers are encouraged to join the MMAI plan
networks as soon as possible to participate in the statewide MMAI program. Contracting
is also important for timely payment and continuity of care. As a network
provider, you will be able to provide care to new and existing
Medicare-Medicaid dually eligible patients while benefitting from simpler
reimbursement systems and a team-based approach to care.
contact the representatives listed below to learn more about how you can become
an MMAI network provider.
Better Health of Illinois
Name: Gary Wagner
Title: IL MMP Network Manager
BlueShield of Illinois
Manager Divisional Strategy
Name: Erin Maday
Title: Medicaid Consultant
Name: Alicia Landrum, MBA
Title: Contract Negotiator III, Network Operations
Director, Provider Contracting
Questions regarding this notice may be directed to
the Department’s Bureau of Managed Care at
217-524-7478 or HFS.MMAI@Illinois.gov
Kelly Cunningham, Administrator
Division of Medical Programs