What is managed care Illinois?
Managed care is a kind of health insurance program. When you enroll in Managed Care, you become a member of a Health Plan. You will have at least four (4) Health Plans to choose from, depending on where you live.
What managed care organizations are in Illinois?
The counties with a Managed Care Organization as an option include Adams, Brown, Cook, DeKalb, Henderson, Henry, Jackson, Kane, Knox, Lee, Livingston, Madison, McHenry, McLean, Mercer, Peoria, Perry, Pike, Randolph, Rock Island, St. Clair, Scott, Tazewell, Warren, Washington, Williamson, Winnebago and Woodford.
Is Illinois Medicaid managed care?
HealthChoice Illinois is the statewide Medicaid managed care program. Most Medicaid customers are required to choose a primary care provider (PCP) and health plan. We can help you understand your plan choices, find providers and enroll.
What does MCO stand for Medicaid?
managed care organizations
Medicaid managed care provides for the delivery of Medicaid health benefits and additional services through contracted arrangements between state Medicaid agencies and managed care organizations (MCOs) that accept a set per member per month (capitation) payment for these services.
What are the six managed care models?
Terms in this set (6)
- IDS (Intregrated Delivery System. Affiliated provider sites that offer joint healthcare.
- EPO (Exclusive Provider Organization.
- PPO ( Preferred Provider Organization)
- HMO (Health Maintence Organization)
- POS (Point of Sale)
- TOP (Triple Option Plan)
What are the different Illinois Medicaid plans?
Medicare-Medicaid Alignment Initiative (MMAI) Program The following health plans will continue to operate in MMAI in 2018: Aetna Better Health, Blue Cross Blue Shield of Illinois, Humana Health Plan, IlliniCare Health Plan, Meridian Health and Molina Healthcare of Illinois.
What is the Bureau of managed care?
The Bureau of Managed Care identifies problems associated with cost, quality and access within the managed care industry and initiates solutions with consumers and providers.
Where can I find managed care in Illinois?
Welcome to the Managed Care section of the Illinois Department of Healthcare and Family Services (HFS) website. In 2018, HealthCare and Family Services expanded their Managed Care program to cover all counties in Illinois. This program is a member-focused program called HealthChoice Illinois.
What is the managed care program?
Managed care is a kind of health insurance program. When you enroll in Managed Care, you become a member of a Health Plan. You will have at least four (4) Health Plans to choose from, depending on where you live. The Health Plan you choose will offer you a full range of services while helping you coordinate your health care.