When a state is planning to make a change to its program policies or operational approach, states send state plan amendments (SPAs) to the Centers for Medicare & Medicaid Services (CMS) for review and approval. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. Download the free version of Adobe Reader. If you don't want to leave the member site, click or tap the "x" in the upper right-hand corner. . 2023 Molina Healthcare, Inc. All rights reserved. By fax : You can fax your signed renewal form to HFS at. Renewals will be available via that website starting one month before they're due, and enrollees can renew online once their renewal is available. Non-discrimination notice and language assistance, Visit Illinois Client Enrollment Services. Medical Assistance Programs are designed to provide Illinois' residents access to quality health care. The Rescue Inhaler Overutilization Program is botha member and prescriber outreach program. We cover mental health and substance misuse services. We connect our members to the care they need and the benefits they want. To select Molina Healthcare as your health plan, follow the instructions in the letter you receive from the ICES. You are now able to view your health information from a third party app on a mobile device or PC! Use our Provider Search tool to find a provider in your area. Please review the various programs below. You will have at least 60 days from when you receive the letter to choose your health plan. Click here to learn about CountyCares services and benefits. To join Meridian, please call the Illinois Client Enrollment Services (ICES) at 877-912-8880. Once youre enrolled in Medicaid, you may be able to choose CountyCare as your health plan. exam, the PCP will learn about your health care needs. They can help with sore throats, headaches, colds, anxiety, COVID-19, and more. about how states determine Medicaid eligibility for other populations. The List of Covered Drugs and/or pharmacy and provider networks may change throughout the year. To learn more about your Health Plan choice, contact Illinois Client Enrollment Services at (877) 912-8880 or visit. Once each year, you can change health plans during a period called open enrollment. If youre happy with your current plan, you do not need to do anything to keep your plan. The Flu Outreach Program is an educational program used to increase accessibility to the flu vaccination in order to add value towards preventative care and keeping members healthy. By using our website, you consent to our use of cookies in accordance with our Privacy Policy. By mail: You can mail your signed renewal form to: Illinois Department of Health and Family Services. Springfield, IL 62763. Meridian Medicaid Plan members never have to pay a premium, deductible, or copay. A managed care plan coordinates benefits for its members. Copyright 2023 Meridian All Rights Reserved. To sign up for Medicaid, Illinois residents can visit the Application for Benefits Eligibility website to start the health care coverage application. Download the free version of Adobe Reader. If you are no longer eligible for Medicaid, you have options. Find answers to some common questions about the Meridian Medicaid Plan below. Renewing My Medicaid | HFS - Illinois Or you can automatically renew at that point if you're signed up with Manage My Case. What is a managed care plan? Or you can automatically renew at that point if youre signed up with Manage My Case. You can become a Meridian member if you are enrolled in the Illinois Medicaid program. If youre not happy with your current plan, this is your opportunity to change it. Check your coverage details, find a claim's status and use your virtual member ID card. You'll tell us about any health conditions, recent hospital visits, medications, and more. BCCHP Members: Get ready to renew your Medicaid! Sat: 9:00AM 1:00PM CT. How is open enrollment different from redetermination? From choosing baby's name to helping a teenager choose a college, you'll make . Youllhave 30 days to send your completed form and supporting information back to HFS. The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with other Managed Care Organizations (MCO) to implement Medicaid to all counties in Illinois. The Health Library is a free resource exclusively for Meridian members where you can get tips to help you manage your health. Medicaid allows you and your family to visit your doctor or specialists and get immediate care in case of an emergency at no cost to you. Check your Member Handbook for more information on covered services. After that, you can change plans once a year during open enrollment. We are here to help! It contains informationfor healthcare professionals. Call our Member Services department toll-free at 1-888-713-6180 ( TDD/TTY: 1-800-947-3529) if you have questions about transitioning your care. You can change your health plan within the first 90 days of membership. Correct anyincorrectinformationand add anythingthat is missing. PO Box 19138. The Meridian Medicaid Plan is a Medicaid managed care health plan in Illinois. An individual must call the Client Enrollment Broker Call Center at 1-877-912-8880 (TTY: 1-866-565-8576) or go online to the Enrollment Portal at www.enrollhfs.illinois.gov to get more information about their HealthChoice Illinois plan choices and to make a plan switch. And all the benefits youre getting through your health plan will be lost. Copyright 2023 Meridian All Rights Reserved. Meridian Health Plan of Michigan, Inc. is rated 4 out of 5 in NCQA's Medicaid Health Insurance Plan Ratings 2016-2017 and NCQA's Medicaid Health Insurance Plan Ratings 2017-2018. Prescriber outreach is conducted to encourage adding a maintenance inhaler to the member's regimen when needed. View our Frequently Asked Questions page. Questions about renewing your Medicaid coverage? Call Member Services. Illinois | Medicaid Pritzker also signed House Bill 2296, which, for the first time, gives Illinois insurance regulators authority to review health insurance rate changes and, if necessary, modify or reject those . We connect our members to the care they need and the benefits they want. Just give us a call: 866-606-3700, Monday through Friday, 8 a.m. to 5 p.m. (TTY: 711). Meridian Our Population Health Management Programs are offered to MeridianHealth members and designed to improve your overall health and quality of care. Yes. Theyllverify allthe information you usedto get yourHealthChoice Illinoiscoveragelast year. The Biden plan, announced last August, was aimed at wiping out the student-loan debt of 20 million Americans, while lowering the balances of 20 million others who qualified for the relief . After the 60 days - whether you changed plans or not - you'll have to stay with that plan for 12 months. What's Happening? By phone: You can renew your coverage by calling 1-800-843-6154 (TTY: 1-866-324-5553). You can redeem these rewards for gift cards. We have many tools and resources that help you get the most out of your health plan. Medicare-Medicaid Alignment Initiative | HFS - Illinois.gov Whether you are new to Wisconsin Medicaid Managed Care or are changing health plans, we will make sure you continue to get the services you need. Medicaid. Our staff will work with you and your doctors to continue any services you are receiving even if the doctor is not in our network. BCBSIL offers two plans: Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross . However, referrals to out-ofnetwork specialists do need prior authorization. MeridianHealth is now Meridian! Can I change my HealthChoice Illinois health plan? If youre already a CountyCare member and want to stay a member, you dont have to do anything. You can only do this once. You can also send a written request via mail, fax, or email to: Illinois Department of Healthcare and Family Services. We will let you stay with an out-of-network doctor for up to 60 days. All with no copays. 1-844-736-3563. Provider Finder , found at . Check out our Pharmacy page to learn more about covered services. Start at abe.illinois.gov, click Manage My Case to find your renewal due date and verify your mailing address. Pritzker signs bills altering Illinois' health insurance market Please enter all the mandatory fields for the form to be submitted, For questions or comments about your coverage, or for more information, please, Molina Healthcare Medical Insurance Marketplace, Supportive Living Facilities (SLF) Waiver, Behavioral Health & Substance Abuse Services. We are Meridian. You usually have 60 days from the life event to enroll in a new plan, but you should report your change as soon as possible. Member outreach is conducted to provide counseling on proper inhaler usage and support for disease management. Since 2008, we have supported families, children, seniors and people with complex medical needs. As of April 1, 2023, Illinois is restarting the Medicaid renewal process. Open enrollment happens once a year and is when you choose which Medicaid health care plan you want. The letter will say you can pick another health plan if you want. In states that use dollar amounts based on household size, rather than percentages of the FPL, to determine eligibility for parents, we converted those amounts to a percentage of the FPL and selected the highest percentage to reflect the eligibility level for the group. Blue Cross and Blue Shield of Illinois (BCBSIL) is changing prior authorization requirements for Blue Cross Medicare Advantage (PPO) SM (MA PPO), Blue Cross Community Health Plans SM (BCCHP SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan) SM members. Call Member Services. PDF Annual Notice of Changes for 2021 - Blue Cross and Blue Shield of Illinois When it's your time for renewal, the Department of Healthcare and Family Services will be sending you a letter with details. As such, Humana members were transitioned to one of the HealthChoice Illinois plans listed above for January 1, 2018 based on the auto-assignment algorithm. PO Box 19138 Here's how Login Find a Doctor For Members Health Insurance Marketplace Plan Medicaid Plan Login Find a Provider How to Enroll Benefits and Services Healthy Rewards Prior Authorization/Referral Care Coordination Pharmacy Disease Management You will need to renew your Medicaid benefits to keep your coverage. You've got questions and we've got answers. Medicaid is a state and federal program that pays for medical assistance services. You will need Adobe Reader to open PDFs on this site. Submit through the Member Portal. CountyCare Health Plan Receiving calls and/or text messages from Aetna Better Health of Illinois that are informational and relate to my health and benefits. Health, Safety, Welfare, Reporting and Follow-up of Incidents. When you do things like visit your provider and complete health screenings, you can earn reward dollars. How do I find a PCP near me? You will need Adobe Reader to open PDFs on this site. Watch your mailbox. Cook Countys largest, no-cost Medicaid health plan. Blue Cross Community MMAI | Blue Cross and Blue Shield of Illinois Medical Assistance Programs - While medical programs are administered through the Illinois Department of Healthcare and Family Services, the public may apply for medical assistance at their Illinois Department of Human Services Local Office (Family Community Resource Center). Use our Provider Finder tool to find a PCP or to see if your current PCP is in-network with us. Ready to renew your Medicaid coverage? Get ready to renew! We will send you a notice before we make a change that affects you. Explore our step-by-step guide to Medicaid renewal. Medicaid and BadgerCare Plus renewals have started. Our plan for the end of the federal public health emergency. If you dont do anything, you will remain with the Medicaid plan you currently have. Redetermination is a review of your eligibility for Medicaid. The Meridian Smoking Cessation Program offers education materials, a personal Smoking Cessation Coordinator and coaching calls to help members quit smoking. Well help you schedule your trip to your provider, pharmacy, Family Case Management site, WIC site, and more. Am I eligible for the Meridian Medicaid Plan? 1-844-736-3563 . The Meridian Medicaid Plan includes free rides to help you get the care you need. Mon-Fri: 8:00AM 6:00PM CT With Meridian, you can get rewarded for taking care of your health. Call Member Services at 888-437-0606 (TTY: 711) memberservices.mi@mhplan.com. It is important to let us know right away if you are getting services that you will need to continue so that we can provide you with the information you need to continue receiving the health care you need on our Medicaid Managed Care plans or so that we can assist you with transitioning to a new provider. You can also call Member Services. Beware of scams. To sign up for Medicaid, Illinois residents can visit the Application for Benefits Eligibility website to start the health care coverage application. Illinois will never ask you for money to renew or apply for Medicaid. If you are currently with another Illinois Medicaid health plan and want to join the Molina Healthcare family, you can do so. A Decrease font size. Attn: Fair Hearings Section. This link will take you to the AetnaBetter Healthof Illinoisvendor website. It is how the State of Illinois determines if you are still eligible for coverage. They will enroll you Molina Healthcare HealthChoice Illinois and may help you select a Primary Care Physician. Chicago, IL 60612, 312-864-8200, 711 (TTY/TDD) Aetna Better Health of Illinois | Aetna Medicaid Ready to renew your Medicaid coverage? If you did not intend to leave our site,click or tap the "x" in the upper right-hand corner. A PCP can be a licensed physician, nurse practitioner, clinical nurse specialist, or physician assistant. MMAI Members: Get ready to renew your Medicaid! Illinois is using enrollees' regularly scheduled renewal date, which enrollees can find at abe.illinois.gov. With HealthChoice Illinois, you have a health plan partner to turn to for help. You will need Adobe Reader to open PDFs on this site. All Rights Reserved. Renew Your Medicaid Coverage | Aetna Medicaid Illinois Download the free version of Adobe Reader. Explore our step-by-step guide to Medicaid renewal. This 90-day enrollment period is called change period. This change period occurs every year regardless of the plan you have joined. MeridianHealth partners with Affinity Patient Coordination to provide pharmacist-driven care coordination that assists members in managing their medications. In addition, the federal government has set an end to other pandemic-related Medicaid changes put in place during the federal public health emergency. Youll learn about how to apply, what we cover, and resources that are available to you. How do I contact Meridian? To keep getting care through HealthChoice Illinois, you are asked to renew your Medicaid coverage every year. This link will take you to the AetnaBetter Healthof Illinoisprovider website. There are a few ways to complete the form: Call us at 866-606-3700. You will be asked to choose a primary care provider (PCP) who is in-network with our plan. Forgot your account details? Your PCP will work with you to make sure you get the care you need to reach your health goals. On February 22, 2013, the Illinois Department of Healthcare and Family Services (HFS) received approval from the federal Centers for Medicare and Medicaid Services (CMS) to jointly implement the Medicare-Medicaid Alignment Initiative (MMAI). Welcome to Healthcare Made Easy. After the 30 day enrollment period, you will have a 90-day period after the effective date to select another managed care organization.To select Molina Healthcare as your health plan, follow the instructions in the letter you receive from the ICES. Please select one of the states in which Molina Healthcare provides services. By phone:You can renewyour coverageby calling1-800-843-6154 (TTY: 1-866-324-5553). Report Medicaid Change of Address | HFS - Illinois Springfield, IL 62763. After that, you cannot change health plans for one year. Unable to take your feedback now, Please try again later. Special needs children are anticipated to begin enrolling into the HealthChoice Illinois Program in May and June of 2018, for a July 1, 2018 enrollment effective date. All members in these plans have received notice of the transition process and plan assignments for January 1, 2018. We cover chiropractic services for members. 1-855-580-1689 (TTY 711), Monday - Friday from 8 a.m. - 8 p.m. For additional information regarding you rights and responsibilities upon disenrollment you may also contact Client Enrollment Services for the Illinois Department of Healthcare and Family Services at 877-912-8880 (TTY 866-565-8576), Monday - Friday from 8 a.m. to 7 p.m. and . At least 90 days before your anniversary date of enrollment, you will get a letter from the Illinois Client Enrollment Services (ICES). Call 1-866-255-5437(TTY: 1-877-204-1012). AetnaBetter Health of Illinois is not responsible or liable for content, accuracy or privacy practices of linked sites or for products or services described on these sites. With added benefits like support making smart health choices, personal care coordination, 24-hour nursing help line, and more. Use Manage My Case to access your benefits, check your redetermination due date, and verify your mailing address. Once each year, you can change plans during a time called open enrollment. For more help choosing a plan and finding a doctor, you can call Illinois Client Enrollment Services at (877) 912-8880 or go online to EnrollHFS.Illinois.Gov . Aetna is part of the CVS Health family of companies. Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/ (866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays. Manage My Medicaid Plan | Aetna Medicaid Illinois Aetna Better Health of Illinois Getting started with your plan Welcome to Aetna Better Health of Illinois. 1-866-324-5553 TTY, 2023 Illinois Department of Human Services, https://www.illinois.gov/hfs/SiteCollectionDocuments/HFSMedicaidManagedCareProgramMapJanuary12018.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/SampleFHNmembertransitionnoticetoCountyCare100317.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/FHNIlliniCareMemberTransitionNotice101717.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/SampleCCAImembertransitionnoticetoCountyCare100317.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/CCAIIlliniCareMemberTransitionNotice101717.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/SampleAetnaMemberTransitiontoCountyCareNotice102317.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/SampleAetnaMemberTransitiontoMeridianNotice102317.pdf, https://www.illinois.gov/hfs/SiteCollectionDocuments/HealthChoiceIllinoisTransitionandExpansionMailScheduleFinalOct162017.pdf, https://www.illinois.gov/hfs/MedicalProviders/cc/Pages/default.aspx/, HealthChoice Illinois Webinar for DHS Employees and Providers. If you have been with a health plan more than 90 days, you can choose to change your health plan after one year of enrollment. HFS will send an open enrollment letter 60 days before your anniversary date. The New Medicaid Managed Care Program: HealthChoice Illinois www.bcchpil.com. You can choose Aetna Better Health of Illinoisthrough Illinois Client Enrollment Services. If it is time for you to renew, please don't delay. If you havent received your letter or you are not sure when you should expect a letter, please call Illinois Client Enrollment Services at 1-877-912-8880. Or, call Cook County Health Application Assistance Call Center at 312-864-8200 / 855-444-1661 (toll-free) / 711 (TDD/TTY), option 1. Or you can automatically renew at that point if youre signed up with, https://hfs.illinois.gov/medicalclients/medrede.html, Illinois Medicaid Renewals Information Center. Online:You can renew your coverageby going to the ABEwebsite and clicking on theManage My Case tool. Learn More. Frequently Asked Questions - hfs.illinois.gov Get ready to renew Illinois has started checking if members are still eligible for Medicaid. If you still need to appeal the bill for the uncovered medical service, you can appeal by calling HFS toll free at 1-855-418-4421. After that time we may require authorization for the service. Call Member Services. This link will take you to the main AetnaMedicaid website (AetnaBetterHealth.com). Parenting is one of the most complex and challenging jobs you'll face in your lifetime -- but also the most rewarding. We welcome you to join the Molina Healthcare family. Where can I find official DHS forms? Only one in 10 people with opioid addiction get medications for opioid use disorder. PDF How to enroll in a HealthChoice Illinois health plan Or choose Go on to move forward to Aetna.com. Call Member Services. Why do I need a PCP? Check out the Interoperability Page to learn more. If you change plans, you will be in the plan you choose until next years choice period. The Personal Wellness Assessment is a short form about you and your health journey. AetnaBetter Health of Illinois complies with applicable federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. 1950 West Polk Street In some cases you may be able to keep your out-of-network doctor for a longer period of time. Sample member transition notices can be found at the following links: Family Health Network (FHN), Community Care Alliance of Illinois (CCAI), Aetna and Humana will not be participating health plans in the HealthChoice Illinois program as of January 1, 2018. Changing your Health Plan or your Primary Care Provider After you pick a health plan for the first time, if you decide you want a different plan, you have 90 days to change your health plan. When its your time for renewal, the Department of Healthcare and Family Services will be sending you a letter with details. Prior Authorization Rules for Medical Benefits, Special Supplemental Benefits for Chronically Ill (SSBCI) Attestation, Behavioral Health Provider Demographic Updates, Provider Accessibility Initiative COVID-19 Web Series, COVID-19 Public Health Emergency Extended by Federal Government into 2021, CDC & FDA Issue Recommendation to Pause Administration of Johnson & Johnson COVID-19 Vaccine, Join_us_for_a_free_continuing_education_opportunity_about_suicide_risk, Medicare Member Plan Benefits Resume for Applicable COVID-19 Testing, Screening, and Treatment Services on May 12, 2023. Prior authorization may be needed. If you dont want to leave our site, choose the X in the upper right corner to close this message. Explore our step-by-step guide to Medicaid renewal. General Qualifications In general to qualify for medical assistance a person must meet financial eligibility criteria, residency requirements and in most cases must be citizens (except for children). Call 866-606-3700 to speak with a nurse anytime.
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