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Medicare-Medicaid Alignment Initiative

On February 22, 2013, the Illinois Department of Healthcare and Family Services (HFS) received approval from the federal Centers for Medicare and Medicaid Services (CMS) to jointly implement the Medicare-Medicaid Alignment Initiative (MMAI). The MMAI is a groundbreaking joint effort to reform the way care is delivered to clients eligible for both Medicare and Medicaid Services (called “dual eligibles”). The MMAI demonstration project began providing coordinated care to Medicare-Medicaid enrollees in the Chicagoland area and Central Illinois beginning March 2014.

You can view more information on the MMAI on the Centers for Medicare & Medicaid Services Website.

Contract, MOU, and End Date Extension Letters


Letters to Members 

Fact Sheets

MMAI Flu Vaccine Campaign

Ombudsman Program

Appeals Process


HCBS Waiver Services

Additional Demonstration Drug Guidance

Plan Contact Information

Rate Reports

Quality Withhold Analysis

Demonstration Implementation

CMS Financial Models to Support State Efforts to Integrate Care for Medicare-Medicaid Enrollees

Medicare-Medicaid Alignment Initiative

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Illinois Department of Healthcare and Family Services

JB Pritzker, Governor • Theresa Eagleson, Director

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