CARE COORDINATION MEMBER TRANSITION LETTERS
HEALTHCHOICE ILLINOIS TRANSITION INFORMATION
HealthChoice Illinois Client Communications
Serving patients through care coordination is the most efficient way to provide health care services. Included here are the many ways we are helping the right provider deliver the right care at the right time.
Welcome to the Care Coordination section of the Illinois Department of Healthcare and Family Services (HFS) website. According to state law, HFS enrolls Illinois Medicaid and All Kids clients into care coordination in five mandatory managed care regions: Rockford, Central Illinois, Metro East, Quad Cities, and the greater Chicago area. Over 60% of our 3 million clients have enrolled in Health Plans.
The goal of Care Coordination is to
- provide a health plan and primary care provider (PCP) for every client
- maintain continuity of care with that PCP
- create comprehensive networks of care around our clients including primary care, specialists, hospitals, and behavioral health care
- offer Care Coordination to help clients with complex needs navigate the healthcare system
This site will include information on HFS’ Care Coordination programs, enrollment totals, program materials, quality measures, and project updates as they become available.
Care Coordination Programs
Care Coordination Enrollment
Enrollment of Medicaid clients in the various Health Plans is updated monthly, and includes data on the two most recent months, and data comparing the current month to that month in the prior year.
Care Coordination Member Transition Letters
- CountyCare - Cook County Aetna Member HealthChoice IL Transition Notice (pdf)
- FHN Cook County Member - CountyCare Transition Notice (pdf)
- CCAI Cook County Member - CountyCare Transition Notice (pdf)
- CCAI Notice for D-SNP Members Transitioning to MMAI (pdf)
- CCAI Notice for D-SNP Members Transitioning to Original Medicare (pdf)
- Cigna-HealthSpring ICP Health Plan End Date Notice (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to a Different MMAI Plan (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to Original Medicare and HealthChoice Illinois MLTSS (pdf)
- Cigna-HealthSpring Notice for MMAI Members Transitioning to Original Medicare and Medicaid FFS (pdf)
- Cigna-HealthSpring Notice for D-SNP Members Transitioning to MMAI (pdf)
- Cigna-HealthSpring Notice for D-SNP Members Transitioning to Original Medicare (pdf)
- Cigna-HealthSpring Notice for D-SNP Members Transitioning to Original Medicare (includes MMAI option language) (pdf)
- Molina FHP Health Plan End Date Notice - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina FHP Health Plan Ending FAQ - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina ICP Health Plan End Date Notice - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina ICP Health Plan Ending FAQ - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina FHP Voluntary Enrollment Notice - Central IL (Champaign, Dewitt, Ford, and Vermilion) (pdf)
- Molina FHP Voluntary Enrollment FAQ - Central IL (Champaign, Dewitt, Ford, and Vermilion) (pdf)
- Molina ICP Voluntary Enrollment Notice - Central IL (Champaign, Dewitt, Ford, McLean, and Vermilion) (pdf)
- Molina ICP Voluntary Enrollment FAQ - Central IL (Champaign, DeWitt, Ford, McLean, and Vermilion) (pdf)
- Molina MMAI Health Plan Ending Notice - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Molina MMAI Health Plan Ending FAQ - Central IL (Christian, Logan, Macon, Menard, Piatt, and Sangamon) (pdf)
- Health Alliance Plan End Date Notice (pdf)
- WellCare Notice for D-SNP Members Transitioning to MMAI (pdf)
- WellCare Notice for D-SNP Members Transitioning to Original Medicare (includes MMAI option language) (pdf)
Care Coordination Operation Metrics
Care Coordination Quality Measures
Sanctions of Care Coordination Programs
Care Coordination Roll Out Plan
Care Coordination Expansion Map
Care Coordination Claims Data (CCCD)
Care Coordination Claims Data (CCCD) is a data set available to Healthcare and Family Services care coordination partners for recipients enrolled in their programs.
Policy on Mandatory Enrollment in Managed Care Entities for Seniors and Persons with Disabilities, July 2012
Care Coordination Innovations Project Updates
