Provider Notice Issued 02/23/2021

Date:    February 23, 2021

To:       All Medical Assistance Program Providers

 

Re:      Illinois Medicare-Medicaid Alignment Initiative Statewide Expansion July 1, 2021

 

 

As noted in the December 16, 2020 provider notice, the Medicare-Medicaid Alignment Initiative (MMAI) program will be expanding statewide effective July 1, 2021. Providers of all specialties and localities are strongly encouraged to join the multiple MMAI plan networks as soon as possible to participate in the statewide MMAI program.

 

Expanding the MMAI demonstration statewide will provide all full dual eligible beneficiaries in every Illinois county with the opportunity to receive their Medicare Parts A and B benefits, Medicare Part D benefits, and Medicaid benefits from a single Medicare-Medicaid Plan, also known as MMAI plan.

 

MMAI Program

The MMAI program brings together Medicare, Medicaid and prescription drug benefits into one health plan. Most MMAI health plans also offer extra benefits such as more dental care and lower prescription co-pays. All MMAI health plans have care coordination to manage all the healthcare and long-term services and supports of enrollees.

 

Why should I participate in MMAI as a contracted provider?

MMAI aligns with Illinois’ overall efforts to provide higher quality and more coordinated care, including:

            •       Better care through a clinically integrated, person-centered care model;

            •       Better value by supporting reimbursement models that focus on quality, not quantity, through financial incentives; and

            •       Better health for the individual through flexible benefits aimed at providing the right care, at the right time, in the right place.

 

Contracting with Participating MMAI Illinois Plans

Providers are encouraged to join the MMAI plan networks as soon as possible to participate in the statewide MMAI program. Contracting is also important for timely payment and continuity of care. As a network provider, you will be able to provide care to new and existing Medicare-Medicaid dually eligible patients while benefitting from simpler reimbursement systems and a team-based approach to care.

 

Please contact the representatives listed below to learn more about how you can become an MMAI network provider.

 

Aetna Better Health of Illinois

Name:  Gary Wagner

Title:  IL MMP Network Manager

Email:  WagnerG@aetna.com

Phone:  331-223-2594

 

BlueCross BlueShield of Illinois

Name: Rory Burke

Title: Manager Divisional Strategy

Email: Rory_Burke@bcbsil.com

Phone: 312-653-2345                

 

 

Humana Inc.

Name:  Erin Maday

Title:     Medicaid Consultant

Email:   esmith35@humana.com

Phone:  847-736-9031

 

Meridian Complete

Name:  Alicia Landrum, MBA

Title:  Contract Negotiator III, Network Operations

Email:  alicia.landrum@centene.com 

Phone:  773-354-9544

 

 

Molina Health Plan

Name: Natalie Kasper

Title: Director, Provider Contracting

Email: Natalie.Kasper@molinahealthcare.com

Phone: 262-271-6525

 

 

 

 

Questions regarding this notice may be directed to the Department’s Bureau of Managed Care at

217-524-7478 or HFS.MMAI@Illinois.gov

 

 

Kelly Cunningham, Administrator

Division of Medical Programs​


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