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New Deadline for Families Affected by Managed Care Transition

December 19th, 2019

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Families transitioning to Medicaid managed care must select a health plan by Jan. 10.

Children with special healthcare needs will move into Medicaid’s managed care program on Feb. 1.

HealthChoice Illinois is the new Medicaid managed care program that is now required statewide.

The Illinois Department of Healthcare and Family Services (HFS) will move children with special healthcare needs into a HealthChoice Illinois health plan on Feb. 1, 2020.

HFS is sending enrollment packets to affected families this month. These families must choose a HealthChoice Illinois health plan and primary care provider (PCP) by Jan. 10.

If a family does not choose a plan before Jan. 10, HFS will automatically assign them a plan and PCP.

Enrollment in a HealthChoice Illinois plan is mandatory for most DSCC families who both:

  • Receive Medicaid and
  • Do not have private health insurance

Note that if your child is a Home Care Program participant, your child will not transition to a HealthChoice Illinois plan. This transition only affects DSCC’s Core Program participants who meet the criteria above.

There are at least four HealthChoice Illinois health plans to choose from.

We developed a list of questions to help our participant families select the best plan for their family’s needs. The “MCO Selection Tip Sheet for Families” is available at https://dscc.uic.edu/browse-resources/available-brochures-pamphlets/.

We strongly encourage families to use these tip sheet questions and reach out to a HealthChoice Illinois enrollment broker.

More information about Illinois’ managed care program is available at https://enrollhfs.illinois.gov/choose/compare-plans.

DSCC staff is working with HFS and its partners to continue our care coordination services for families beyond the Feb.1 transition. We will share more details about this process once they become available.

We remain committed to supporting our families and making this transition to a new health plan as seamless as possible.

Families may contact their local DSCC regional office with questions. Families may also reach us at (800) 322-3722 or dscc@uic.edu.