Clients 1-877-912-1999 Ext. 2 Enrollee Services TTY:1-866-565-8577

Medical Home Options

Most Illinois Medicaid clients must pick a health plan and a primary care provider (PCP) for their medical home.

Mandatory Counties:

Clients living in counties where mandatory managed care has been implemented will pick a PCP in a managed care organization (MCO), an Accountable Care Entity (ACE) or a Care Coordination Entity (CCE). Not all plans are available in all counties. The mandatory counties are:

    Boone, Champaign, Christian, Clinton, Cook, DeWitt, DuPage, Ford, Henry, Kane, Kankakee, Knox, Lake, Logan, Macon, Madison, McHenry, McLean, Menard, Mercer, Peoria, Piatt, Rock Island, Sangamon, Stark, Tazewell, St. Clair, Vermilion, Will, and Winnebago (30)

If you live in these counties, please use the link below to find out more about the health plans available in your county:

www.EnrollHFS.Illinois.gov

Voluntary Counties – Illinois Health Connect Only:

Client living in counties where mandatory managed care has NOT been implemented (voluntary counties), and the primary care case management program is the only option, will pick a PCP in the Illinois Health Connect program. These counties are:

    Alexander, Bond, Calhoun, Clay, Edwards, Fayette, Franklin, Gallatin, Greene, Hamilton, Hardin, Jefferson, Jersey, Jo Daviess, Johnson, Lawrence, Marion, Massac, Monroe, Pope, Pulaski, Saline, Union, Wabash, Wayne, and White

If you live in these counties, please use the link below to find out more about Illinois Health Connect:

www.IllinoisHealthConnect.com

Voluntary Counties – Illinois Health Connect or a voluntary MCO

Some voluntary counties have health plan options (MCOs) in addition to Illinois Health Connect, where clients can choose a PCP in the Illinois Health Connect program or in a voluntary MCO. The voluntary counties where clients have more than one option are:

    Adams, Brown, DeKalb, Henderson, Jackson, Lee, Livingston, Perry, Pike, Randolph, Scott, Warren, Washington, Williamson, and Woodford

If you live in these counties, please use the link below to find out more about the health plans available in your county:

www.EnrollHFS.Illinois.gov

If you need to enroll with a PCP and health plan for the very first time, want to switch health plans, or would like more information regarding your healthcare choices, visit the Illinois Client Enrollment Services Web site at www.EnrollHFS.Illinois.gov or call Illinois Client Enrollment Services at 1-877-912-8880 (TTY: 1-866-565-8576).

If you are already enrolled with Illinois Health Connect or with an ACE or CCE and would like to switch PCPs or need help finding a provider in your area, visit the Illinois Health Connect Web site at www.IllinoisHealthConnect.com or call Illinois Health Connect at 1-877-912-1999 (TTY: 1-866-565-8577).

For more information about the Medicaid Care Coordination Expansion, please use the link below:

www.illinoishealthconnect.com/clients/CareCoordinationExpansion.aspx


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