Provider Notice Issued 04/30/2021

Date:   April 30, 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 and February 23, 2021 provider notice, the Medicare-Medicaid Alignment Initiative (MMAI) program will be expanding statewide effective July 1, 2021.

 

The link below to the MMAI Plans by County identifies which health plans will be available for opt-in enrollment, passive enrollment, or both effective upon initial expansion. Passive enrollment means that if a customer does not choose a health plan, the customer will be auto assigned to a health plan. 

 

Customers eligible to enroll in MMAI in the expansion counties may opt-in beginning in June 2021 for a July 1, 2021 effective date. The MMAI passive enrollment implementation for the statewide expansion will be phased in over multiple cohorts. Enrollment materials for the first passive enrollment cohort will be mailed in June 2021 with a September 1, 2021 effective date. Customers currently enrolled in MLTSS under HealthChoice Illinois will not be included in the first or second passive enrollment cohorts. Additional information regarding ongoing expansion activities and updates on which plans are available for the second wave of passive enrollment in the new MMAI counties will be provided at a later date.

 

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 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 customers while benefitting from simpler reimbursement systems and a team-based approach to care. IMPACT enrollment is required for any provider who renders services to Medicaid members for Medicaid covered services through the MMAI program.

 

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

 

CountyCare/MoreCare MMAI*

Name: Ronald Michaelson

Title: Director of Provider Contracting

Email: CountyCareContracting@cookcountyhhs.org

Phone: 312-466-2983

 

*Note: CountyCare/MoreCare MMAI is planning to participate in the MMAI Demonstration effective January 1, 2022 for Cook County only, pending CMS and HFS approval.

 

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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