Date: October 29, 2019
To: All Medical Assistance Program Providers
Re: HealthChoice Illinois – Special Needs Children Implementation Delay from November 1, 2019 to February 1, 2020
This notice informs providers of a delay in the Department of Healthcare and Family Services’ (HFS) intended November 1, 2019 managed care expansion for Special Needs Children previously communicated in a Provider Notice dated September 16, 2019. Special Needs Children populations include children under the age of twenty-one (21) and:
· are eligible for Supplemental Security Income (SSI) under Title XVI;
· receive Title V care coordination services through the University of Illinois at Chicago’s Division of Specialized Care for Children (DSCC), (also known as the CORE Program);
· qualify as disabled;
· are under the legal custody or guardianship of the Illinois Department of Children and Family Services (DCFS); or
· were formerly under the legal care of DCFS and are receiving assistance through Title IV-E.
After listening to stakeholder concerns, HFS, in consultation with DCFS, has decided to extend the effective date for HealthChoice Illinois enrollment of Special Needs Children to February 1, 2020.
Children under the legal custody or guardianship of DCFS will enroll in a specialty health plan (YouthCare) administered by IlliniCare Health. Former Youth in Care will be auto assigned to IlliniCare Health, with the option to select from other health plans serving under the existing HealthChoice Illinois managed care program.
All other Special Needs Children populations will enroll in a HealthChoice Illinois managed care health plan.
Providers serving these Special Needs Children populations are encouraged to continue contract discussions with the managed care plans. Providers who are not enrolled to participate in HFS’ Medical Programs must go through IMPACT enrollment prior to pursuing contracts with the plans.
Questions regarding this notice may be directed to the Department’s Bureau of Managed Care at