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Provider Notice Issued 11/04/2022

Date:   November 4, 2022

To:       All Medical Assistance Program Providers             

Re:      Medicare-Medicaid Alignment Initiative (MMAI) Request for Application (RFA)


This notice informs interested entities of the posting of a Request for Application (RFA) for the Illinois Medicare-Medicaid Alignment Initiative (MMAI).

To further advance our commitment to health equity, the Illinois Department of Healthcare and Family Services (HFS) is seeking the services of a qualified, experienced and financially sound Plan that is minority-led and headquartered in Illinois to enter into a risk-based contract to provide the full spectrum of Medicare and Medicaid covered services through an integrated care delivery system to a portion of seniors and adults (aged 21 and over) with disabilities who are fully dual eligible for Medicare Parts A and B and Medicaid in Cook County.

The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014. The MMAI demonstration brings together Medicare, Medicaid, and prescription drug benefits into one health plan for dual eligible customers. As of July 1, 2021, the MMAI program is statewide. Currently, there are five (5) MCOs participating in the MMAI demonstration (Aetna, Blue Cross Blue Shield, Humana, Meridian, and Molina).

HFS operates the MMAI demonstration in partnership with the Centers for Medicare & Medicaid Services (CMS). Successful applicant(s) will be expected to immediately initiate the application process with CMS. Subject to CMS approval, it is intended that services would commence January 1, 2024.

The RFA can be found on the HFS MMAI webpage at the following link: . Applicants are responsible for monitoring the HFS website for updates. Interested parties are required to submit a Letter of Intent to HFS by 5:00 PM CT November 11, 2022. Applicants must submit applications to HFS by 12:00 PM CST on January 25, 2023. See timeline below for upcoming deadlines.

Release of RFANovember 4, 2022
Window for Submission of QuestionsNovember 7, 2022-November 21, 2022
HFS Letter of Intent Due DateNovember 11, 2022
HFS Response to QuestionsNovember 30, 2022
CMS Releases ApplicationJanuary 11, 2023
Final day to submit CMS Notice of Intent to Apply (NOIA) January 20, 2023
HFS Application Due January 25, 2023
CMS Application DueFebruary 15, 2023

Kelly Cunningham, Administrator
Division of Medical Programs


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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director

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