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Illinois

Illinois Financial Alignment Demonstration (Medicare-Medicaid Alignment Initiative)

7/30/14 - The Illinois Medicare-Medicaid Plan (MMP) 2015 Member Handbook, Marketing Guidance, Member ID Card, Provider and Pharmacy Directory, Summary of Benefits, List of Covered Drugs, Integrated Denial Notices, Delegated Notices (5a, 16, 27, 29, 30) and Annual Notice of Change posted on the Information and Guidance for Plans page.

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