ILLINOIS MEDICAID APPLICATIONS
APPLYING FOR ILLINOIS MEDICAID
The Medicaid application process can be very complex.
Illinois Medicaid Applications
Medicaid Applications in Illinois
Do you know if you are eligible for Medicaid in Illinois? Do you need to be able to obtain Medicaid, so that you can pay for your medical bills?
Applying for Medicaid can be a difficult process that is confusing for many people to be able to sort through. The biggest challenge many people face when applying for Medicaid in IL is that it is hard to determine whether or not you are eligible for Medicaid.
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What Is Medicaid in Illinois?
If you and your family are found to be eligible for Medicaid, you have two basic decisions to make on how your health care will be delivered.
Each member of your family can choose his or her own medical option or medical home.
Everyone in your family can have a different doctor, clinic or managed care program, or your family can be with one doctor, a clinic or a managed care plan.
Choosing a medical home does not mean you have to change doctors. You may pick your current doctor.
You and your family will receive the same covered medical services under both options. Additional benefits may be available to you and your family under a managed care plan.
If you choose the regular fee-for-service program, you must find your own doctor or clinic that accepts Medicaid clients.
The doctor may be in a private practice in an office; the doctor may work with a community health center or a health department clinic; the doctor may work with a hospital-based clinic, or the doctor may work with a managed care plan.
If you want to go to a certain hospital, you must find out if your doctor has made arrangements with that hospital. You can do this by asking your doctor or his staff if he can have you admitted to the hospital you want.
If you choose a managed care plan, you and your family receive their basic health care through a primary care doctor associated with a managed care plan. Medical care will be arranged through the managed care plan that you chose, and you must receive medical care with the doctors, hospitals, pharmacies associated with that managed care plan.
A managed care plan manages the health needs of you and your family.
There are two types of managed care plans: Health Maintenance Organizations (HMOs) and Prepaid Health Plans (PHPs).
HMOs have been available to Medicaid clients in the Chicago area since 1974 and are primarily sponsored by insurance companies, which have both Medicaid and private patients.
PHPs are organized by hospitals or medical schools and only have Medicaid patients.
With a managed care plan, you should call your doctor about your health needs, when you don't feel good or have a child who is sick. If you need to see a specialist, the doctor who manages you care will make a referral. The doctor can also make arrangements for medical supplies or equipment.
Unless it is an emergency, you should always call the doctor you have chosen and coordinate your care before you go to another doctor or to a hospital emergency room. Your doctor will provide you with a 24-hour medical assistance number you can call.
A managed care plan may offer benefits in addition to those covered by Medicaid, such as dental and vision care for adults. You may have to pay for a part of these services.
You can choose a managed care plan by completing an enrollment form provided by the plan or by calling the plan. The representatives of the managed care plan will provide you with the information about the plan and help you choose a primary care provider.
06/20/2013 - IL Dept. of Healthcare and Family Services Reminds Primary Care Physicians to Sign Up for Enhanced Medicaid Rates By June 30
CHICAGO – The Illinois Department of Healthcare and Family Services (HFS) is reminding qualified primary care providers in the state’s Medicaid program to sign up online for enhanced Medicaid rates by June 30, 2013. As part of the Affordable Care Act (ACA), certain qualified primary care providers will receive enhanced payments from the federal government for certain Medicaid primary care services provided through the end of 2014.
04/24/2013 - Governor Quinn Addresses Annual Conference on Affordable Housing
CHICAGO – Governor Pat Quinn today addressed the annual Illinois Governor’s Conference on Affordable Housing, where he discussed his commitment to increasing homeownership opportunities, helping working families stay in their homes and stabilizing communities. The governor also thanked public-private housing leaders for partnering with the state of Illinois to create and preserve affordable housing opportunities across Illinois.
02/22/2013 - Illinois Partnering with Centers for Medicare And Medicaid Services On Coordinated Care Plan for Medicare and Medicaid Clients
CHICAGO – The Illinois Department of Healthcare and Family Services (HFS) and the federal Centers for Medicare and Medicaid Services (CMS) today announced a groundbreaking joint effort to reform the way care is delivered to clients eligible for both Medicare and Medicaid Services. The Medicare-Medicaid Alignment Initiative (MMAI) demonstration project, which is designed for clients who are eligible for both Medicare and Medicaid (known as “dual eligible”), will provide coordinated care to more than 135,000 Medicare-Medicaid enrollees in the Chicagoland area and throughout central Illinois beginning October 2013.
An audit discovers thousands of people who aren't eligible for their benefits. The victims? Other Medicaid recipients.
Illinois Department of Healthcare and Family Services director Julie Hamos answers questions during the workgroup meeting on children with complex medical needs at the Illinois Dept. of Healthcare and Family Services in Chicago, Wednesday, July 11, 2012.
Illinois Department of Healthcare and Family Services director Julie Hamos answers questions during the workgroup meeting on children with complex medical needs at the Illinois Dept. of Healthcare and Family Services in Chicago, Wednesday, July 11, 2012. (Heather Charles)
In January, Illinois launched an effort to scrub ineligible people from the state's Medicaid rolls. The process is loosely similar to election officials purging voter rolls of ineligible names: Legislators anticipated that the Medicaid audit would help them achieve $1.6 billion in budget cuts designed to rescue the financially ailing program and preserve its vital health care coverage for lower-income residents. MORE..
ILLINOIS MEDICAID APPLICATION | Illinois Medicaid Process | IL Medicaid | illinois.gov