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Illinois Financial Alignment Demonstration (Medicare-Medicaid Alignment Initiative)

5/20/14 - The Reporting Requirement Templates for Illinois posted on the Information and Guidance for Plans page. 

5/12/14 - The Illinois Evaluation Design Plan. 

4/28/14 - The Illinois Reporting Requirements and Frequently Asked Questions (FAQs).

3/18/14 - The Appeal Decision Notices for Medicare-Medicaid Services (including Medicare-Medicaid overlap services) and Medicaid-only Services (including Non-waiver, DRS waiver and Aging waiver services).

On February 22, 2013, the Department of Health and Human Services announced that the State of Illinois will partner with the Centers for Medicare & Medicaid Services (CMS) to test a new model for providing Medicare-Medicaid enrollees with a more coordinated, person-centered care experience.

Under the demonstration, also called the "Medicare-Medicaid Alignment Initiative," Illinois and CMS will contract with health plans to coordinate the delivery of and be accountable for all covered Medicare and Medicaid services for participating Medicare-Medicaid enrollees. 

Key Dates

February 22, 2013 - CMS and Illinois sign MOU

March 1, 2014 - Scheduled start of opt-in enrollment

June 1, 2014 - Scheduled start of passive enrollment

More information from CMS:

Information for Plans:

Information from the State of Illinois:

Funding Support