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Changes are Coming to Medicaid

December 27, 2017

If you are Medicaid beneficiary, you may have begun receiving notices from Healthcare and Family Services (HFS), leaving you with many questions:

 

What is Medicaid Managed Care?

  • Managed Care is like private insurance for those on Medicaid. Rather than the state of Illinois paying providers directly, it pays insurance companies to coordinate your care, and the insurance companies then pay for the services you receive

 

I currently have Illinois Health Connect and received a notice that it is ending December 31, 2017. What do I need to do?

  • Right now you do not need to do anything. The state will continue to pay your providers directly until April 1, 2018.
  • Between mid-January through mid-February, you will receive an enrollment packet from HFS telling you to select a Managed Care plan.
  • You will have 30 days to enroll in a plan. If you do not select a plan before your deadline you will be auto-enrolled into a plan

 

How will I know which plan to pick?

  • Assistance is available to help you with the process. The organizations listed below provide free enrollment assistance to all members of the community. You do not need to be a patient to receive this service.
  • Shawnee Health Service – (618 )519-9200
  • Christopher Rural Health – (800) 408-7351
  • Rural Health, Inc. – (618) 833-4471

 

What information should I bring when receiving enrollment assistance?

  • Names of all providers for all household members
  • List of current medications

 

HFS also has a Medicaid Managed Care in Illinois Frequently Asked Questions page: https://www.illinois.gov/hfs/MedicalClients/ManagedCare/Pages/ManagedCareFAQ.aspx

 

If you have any more questions about Medicaid Managed Care, you may contact Shawnee Health Service’s Outreach and Enrollment team by calling (618) 519-9200 or (844) 331-3069.

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