HFSInfo CenterCare Coordination

Welcome to new Managed Care members

Managed Care Update as of March 16, 2020 
 
The launch of YouthCare services for DCFS youth in care, which was scheduled to take place on April 1st, 2020, will be postponed a minimum of 30 days.  More information about this postponement can be found at the following link:
 
 
Children and young adults eligible for YouthCare who are no long under the guardianship of DCFS (former youth in care), as well as special needs children, transitioned on February 1.
 
HealthChoice Illinois guide for DCFS former Youth in Care and Special Needs Children
 
Coordinating care. Whole-person treatment. Ensuring the right care at the right time and place.
 
Those are the goals of HealthChoice Illinois
 
Now these managed care benefits are now extended to DCFS former Youth in Care and Special Needs Children.
 
The transition date was February 1, 2020
 
Special Needs Children include those:
 
·       who are receiving Supplemental Security Income (SSI),
 
·       who are enrolled in the Division of Specialized Care for Children (DSCC) CORE program
 
·       with a physical disability
 
DCFS Former Youth in Care include youth who:
 
·       have been adopted
 
·       are under a subsidized guardianship arrangement
 
·       have emancipated from DCFS and are under the age of 21
 
·       have been reunified with their families in previous 12 months
 
Starting in December 2019, families of Special Needs Children and DCFS Former Youth in Care began receiving enrollment packets from Illinois Client Enrollment Services to enroll in a HealthChoice Illinois plan. Enrollment of these groups will continue.  Clients who are required to enroll in managed care will receive an enrollment packet in the mail.  Please follow the instructions contained in the packet in order to make a voluntary choice of a health plan that best fits the child’s needs.   
 
Frequently Asked Questions about Special Needs Children and former Youth in Care enrollment: 
       What populations will participate in Managed Care as of February 1, 2020 
Children under the age of 21:
·        with a physical disability category, or
·        enrolled in the Division of Specialized Care for Children (DSCC) CORE program, or
·        receiving Supplemental Security Income (SSI) Youth who have been adopted
AND  
DCFS Former youth in care who:
·                 are under a subsidized guardianship arrangement
·                 have emancipated from DCFS and are under the age of 21
·                 have been reunified with their families in previous 12 months
 
      What about DCFS Youth in Care who are currently under the guardianship of DCFS? 
This population was set to enroll April 1, 2020.  The launch of YouthCare services for DCFS youth in care will be postponed a minimum of 30 days.  More information about the this postponement can be found at the following link:
      Will these children be required to participate in Managed Care? 
Yes, there is no opt out
      Will Medically Fragile Technology Dependent (MFTD) waiver members and Nursing and Personal Care Services Program (NPCS) continue to be excluded from Managed Care?
 
Yes, children who are enrolled in MFTD and who receive NPCS will continue to be excluded from Managed Care.
      How are children on a Developmental Disability (DD) waiver or residing in a DD facility impacted by the Special Needs Children enrollment? 
Service Package III is not part of the current changes.  DHS will continue to coordinate waiver services for children enrolled in the DD waiver.
      How will the enrollment process work for DCFS FORMER Youth in Care and Special Needs Children? 
HFS mailed an enrollment packet in December.  The letter will allow members to choose from a list of health plans that are available.  If they do not choose a health plan by the deadline, one will be chosen for them.  Members have an additional 90 days after 02/01/2020 to make a one-time switch.  After 90 days have passed, the member will be locked into their health plan for a year. 
     What services will these children be receiving from the managed care health plans? 
Special Needs Children and DCFS Former Youth in Care will receive all the Medicaid covered services and medical care coordination from the health plan.
      How do I contact my health plan? 
Contact information for each health plan (including the phone number and website link) can be found here:
      If I have questions about the HealthChoice Illinois program or my Medicaid benefits, who should I call? 
You can call the HFS Health Benefits Hotline at: 1-800-266-0768
  

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