What is the name of the Medicaid agency in Illinois?
Asked by: Timothy Durgan III | Last update: August 27, 2025Score: 4.4/5 (71 votes)
Who handles Illinois Medicaid?
Illinois Department of Healthcare and Family Services.
What is the name of the Medicaid program in Illinois?
The Department operates three distinct care coordination programs within the broader Illinois Medicaid Managed Care program: HealthChoice Illinois (HCI), YouthCare, and the Medicare Medicaid Alignment Initiative (MMAI).
What government agency is Medicaid?
CMS is the federal agency that provides health coverage to more than 160 million through Medicare, Medicaid, the Children's Health Insurance Program, and the Health Insurance Marketplace. CMS works in partnership with the entire health care community to improve quality, equity and outcomes in the health care system.
What is the Illinois Medicaid provider line?
Provider Help Line: 1-800-804-3833.
Is Illinois Medicaid Right for You? Discover Eligibility & Benefits
Who is a Medicaid provider?
Medicaid Providers means the physicians, hospitals and other health care providers that have contracted with Seller and/or Seller's Affiliates to provide covered health care services to Medicaid Members.
How do I contact Illinois Medicaid?
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.
What agency originally administered Medicaid?
The Centers for Medicare and Medicaid Services, originally designated the Health Care Finance Administration (HCFA), was established as a subagency under the Department of Health and Human Services by the Reorganization Order of march 9, 1977.
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
Which agency oversees Medicare and Medicaid services?
Centers for Medicare & Medicaid Services (CMS) The federal agency that runs the Medicare, Medicaid, and Children's Health Insurance Programs, and the federally facilitated Marketplace.
How do I change my Medicaid provider 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.
What is the monthly income limit for Medicaid in Illinois?
This may include medical care/treatment/supplies, nursing home services, in-home personal care, Medicare premiums, and prescription drugs. Effective April 2024 – March 2025, the medically needy income limit (MNIL) in IL is $1,255 / month for an individual and $1,703 / month for a couple.
Is Meridian Insurance Medicaid?
Meridian is dedicated to improving the lives of our members. Our mission is to make sure you get the most from your healthcare coverage regardless of income level or health condition. When you become a member, you will get all of your covered Medicare and Medicaid services from Meridian, including prescription drugs.
How do I check my Medicaid status in Illinois?
If you aren't sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the state's Automated Voice Recognition System (AVRS) at 1-855-828-4995 with your Recipient Identification Number (RIN).
What office handles Medicaid?
The Center for Medicaid and CHIP Services (CMCS) is one of six Centers within the Centers for Medicare & Medicaid Services (CMS) , an agency of the U.S. Department of Health and Human Services (HHS) .
Who controls Medicaid?
Medicaid is a state–federal partnership jointly funded by the states and federal government and administered by the states according to federal requirements to assist states in providing medical care to eligible people.
What are the different types of Medicaid in Illinois?
Illinois Healthcare and Family Services (HFS) currently has four types of statewide managed care programs: HealthChoice Illinois Mandatory Managed Care Plans (MCP) cover children, pregnant women, FamilyCare, Affordable Care Act (ACA) Adults and Aid to the Aged, Blind or Disabled (AABD) Adults.
Will I lose my Medicaid if I get Medicare?
People who have both Medicare and full Medicaid coverage are “dually eligible.” Medicare pays first when you're a dual eligible and you get Medicare-covered services. Medicaid pays last, after Medicare and any other health insurance you have.
Is Medicaid a federal agency?
Medicaid is a joint federal and state program that helps cover medical costs for some people with limited income and resources. The federal government has general rules that all state Medicaid programs must follow, but each state runs its own program.
How much does Medicaid cost per month?
Amounts. Most states adjust premium amounts by beneficiary income, with approved possible charges ranging from approximately $5 to $74 per month. Four states (AR, AZ, MI, and MT) have approved waivers to require monthly premium payments as a percentage of income.
Who administers Medicare and Medicaid funds?
Department of Health and Human Services (HHS)
The federal agency that oversees CMS, which administers programs for protecting the health of all Americans, including Medicare, the Marketplace, Medicaid, and the Children's Health Insurance Program (CHIP).
Who handles Medicaid in Illinois?
Welcome to the Illinois Department of Healthcare and Family Services. "We work together to help Illinoisans access high quality health care and fulfill child support obligations to advance their physical, mental, and financial well-being."
What is the cut-off for Medicaid in Illinois?
Illinois offers Medicaid coverage for people with disabilities with income up to 100% of the federal poverty level (monthly income of $1,012 for an individual) and non-exempt resources (assets) of no more than $2,000 (for one person).
Is Medicaid Illinois free?
Medicaid is a government program that provides free health care for millions of Americans. In Illinois, it's called HealthChoice Illinois. Qualified individuals are covered for a wide variety of benefits and services including: Preventive care.