Report Center

Annual Report

• FY - 2020 Medical Assistance Program Annual Report (pdf)​

• FY - 2019 Medical Assistance Program Annual Report (pdf)

• FY - 2018 Medical Assistance Program Annual Report (pdf)

• FY - 2017 Medical Assistance Program Annual Report (pdf)

• FY - 2016 Medical Assistance Program Annual Report (pdf)  

HealthChoice Illinois Consumer Report Cards 

• CY2018/HY2019 Consumer Report Card Statewide (pdf)

• CY2018/HY2019 Consumer Report Card Statewide in Spanish (pdf)

• CY2018/HY2019 Consumer Report Card for Cook County (pdf)

• CY2018/HY2019 Consumer Report Card for Cook County in Spanish (pdf)

• CY2017/HY2018 Consumer Report Card Statewide (pdf)

• CY2017/HY2018 Consumer Report Card for Cook County (pdf)  

MCO Performance Metric Dashboard Summaries 

• MCO Performance Metric Dashboard Summary - QBR Q3 2020 (pdf)

• MCO Performance Metric Dashboard Summary - QBR Q2 2020 pdf)  ​

Long Term Services & Support

• Current State of LTC Determinations (pdf)

• An Independent Evaluation of the Integrated Care Program Findings from the Baseline through Year Two (FY13) (pdf)

• Second Status Report on Expedited Long Term Care Eligibility Determination and Enrollment Pursuant to 305 ILCS 5/11-5.4 (pdf)

• Status Report on Expedited Long Term Care Eligibility Determination and Enrollment Pursuant to 305 ILCS 5/11-5.4 (pdf)

Eligibility Reports

• Eligibility Backlog Reporting October - December 2019 (pdf)

• Eligibility Backlog Reporting July - September 2019 (pdf)

• Ex Parte Report December 2019 (pdf) 

Medicaid Redetermination (IMRP)

• FY - 2017 IMRP Quarterly Report - 2nd Quarter (pdf)

• FY - 2016 IMRP Quarterly Report - 4th Quarter (pdf)

• FY - 2014 IMRP Quarterly Report - 4th Quarter (pdf)

• IMRP Quarterly Report 1-14 (pdf) 

HFS Quality Strategy

• 2021 - 2024 Comprehensive Medical Programs Quality Strategy (pdf)

• 2016 - 2018 Comprehensive Medical Programs Quality Strategy (pdf)

• 2014 - 2016 Comprehensive Medical Programs Quality Strategy (pdf)

• 2012 - 2013 Comprehensive Medical Programs Quality Strategy (pdf)

Quality Measures

• FHP-ACA HEDIS 2018 Priority Quality Measure Results (pdf)

• ICP HEDIS 2018 Priority Quality Measure Results (pdf)

External Quality Review Technical Reports 

• 2018-2019 External Quality Review Technical Report (pdf)

• 2017-2018 External Quality Review Technical Report (pdf)

• 2016-2017 External Quality Review Technical Report (pdf)

• 2014-2015 External Quality Review Technical Report (pdf)

• 2013-2014 External Quality Review Technical Report (pdf)

• 2012-2013 External Quality Review Technical Report (pdf)

• 2011-2012 External Quality Review Technical Report (pdf)

• 2010-2011 External Quality Review Technical Report (pdf)

• 2009-2010 External Quality Review Technical Report (pdf)

• 2008-2009 External Quality Review Technical Report (pdf)

• 2007-2008 External Quality Review Technical Report (pdf) 

Healthcare for Women & Children

• FY - 2019 CMS-416 Reporting of EPSDT Services for Children (pdf)

• FY - 2018 CMS-416 Reporting of EPSDT Services for Chldren (pdf)

• FY - 2017 CMS-416 Reporting of EPSDT Services for Children (pdf)

• 2017 Children's Health Insurance (CHIP) Annual Report (pdf)

• 2017 Primary Care Case Management Annual Report (pdf)

• FY - 2016 Children's Health Insurance Program (CHIP) Annual Report  (pdf)

• CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP: Illinois' Performance Calendar Years 2010 through 2014 (pdf)

• 2015 Illinois Healthy Women Final Reports March 2015 (pdf)

• Jan. 2016 Bi-Annual Report of Medicaid Services for Persons who are Medically Fragile, Technology Dependent (pdf)

• 2015 CMS-416 UPDATED Reporting of EPSDT Services for Children (pdf)

• 2015 Children's Health Insurance Program (CHIP) Annual Report (pdf)

• 2015 Primary Care Case Management Report (pdf)

• CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP: Illinois' Performance Calendar Years 2009 through 2013 (pdf)

• 2014 CMS-416 Reporting of EPSDT Services for Children (pdf)

• 2014 Children's Health Insurance Program (CHIP) Annual Report (pdf)

• CHIPRA Core Set of Children's Health Care Quality Measures for Medicaid and CHIP:  Illinois' Performance Calendar Years 2011 through 2015 (pdf)

• CHIPRA Core Set of Children’s Health Care Quality Measures for Medicaid and CHIP: Illinois’ Performance Calendar Years 2009 through 2012 (pdf)

• 2014 Primary Care Case Management Report (pdf)

• January 2014 Report of Medicaid Services for Persons who are Medically Fragile, Technology Dependent (pdf) 

• 2013 CMS-416 Reporting of EPSDT Services for Children (pdf)

• Perinatal Healthcare Report to the General Assembly Pursuant to Public Act 93-0536

Transportation Physician Certification Statement Quarterly Reports

• 2020 Second Quarter - No Reports Required Due to the COVID-19 Public Health Emergency

• 2020 First Quarter (pdf)

• 2019 First Quarter (pdf)

• 2019 Second Quarter (pdf)

• 2019 Third Quartter (pdf)

• 2019 Fourth Quarter (pdf)

Veterans Care

• 2017 Veterans Care Annual Report (pdf)

• 2016 Veterans Care Annual Report  (pdf)

• 2015 Veterans Care Annual Report (pdf)

• 2013 Annual Veterans Care Report (pdf) 

Misc.

• Feasibility Report for Coverage Affordability Initiatives in Illinois (April 2021)​ (pdf)​

• Section 25 Report (pdf)

• 2020 Value Based Purchasing Report January Final (pdf)

• 2020 Green and Healthy Homes Initiative Report (pdf)

• 2019 Annual Report Working Group Regarding Treatment and Coverage of Substance Abuse Disorders and Mental Illness (pdf)

• 2015 Child Medicaid Health Plan CAHPS Report (pdf)

• PCCM-FFS Summary Data CY 2013-2014-2015 (pdf)

• 2013 Illinois CAHPS Statewide Aggregate General Child and CCC CAHPS Results (pdf)

• Core Set of Adult Health Care Quality Measures for Medicaid (Adult Core Set): Illinois' Performance Calendar Years 2012 through 2014 (pdf)

• 2015 Medical Assistance Annual Report (pdf) 

• 2014 Medical Assistance Annual Report (pdf)

• FY 2014 Adult Core Measures Report (pdf)

• 2011-2012 External Quality Review Technical Report (pdf)

• SMART Act Implementation Report (pdf) 
  

• OIG Report on Unauthorized Use of Medical Assistance (pdf) 

• HFS 2016-2018 Quality Strategy (pdf)