Update: Medicare Medicaid Alignment Initiative Expansion

May 13, 2021`

Per the Illinois Department of Healthcare and Family Services (HFS), effective July 1, 2021, the Medicare Medicaid Alignment Initiative (MMAI) Program will be expanding.  Currently, Blue Cross and Blue Shield of Illinois (BCBSIL) offers its Blue Cross Community MMAI (Medicare-Medicaid Plan)SM plan in the following counties: Cook, DuPage, Kankakee, Kane, Lake and Will.

Beginning July 1, 2021, MMAI will be available in the following 74 counties for BCBSIL:

Boone Dekalb Jackson Menard Sangamon
Bond Douglas Jefferson Mercer Schuyler
Brown DuPage Johnson Montgomery Scott
Bureau Edgar Kane Morgan Shelby
Calhoun Fayette Kankakee Moultrie Stark
Carroll Ford Kendall Ogle Tazewell
Cass Franklin Knox Peoria Union
Christian Fulton La Salle Perry Warren
Clark Gallatin Lake Piatt Washington
Clay Greene Lee Pike Wayne
Clinton Grundy Livingston Pope White
Coles Hamilton Logan Pulaski Will
Cook Hardin Macoupin Putnam Williamson
Cumberland Henderson Mason Randolph Woodford
De Witt Iroquois McHenry Saline  

MMAI is a demonstration plan of HFS and the Centers for Medicare & Medicaid Services (CMS) designed to improve health care for seniors and persons with disabilities.

For every county in Illinois, BCBSIL and other participating health plans will begin managing members who have full Medicare and Medicaid benefits and are not in enrolled in the Managed Long Term Services and Supports (MLTSS) program.

For more information, please refer to this HFS Provider Notice

Join us for a webinar!
BCBSIL is offering MMAI Orientation webinars to help providers learn more about the MMAI program. The webinars will also cover how to navigate BCBSIL requirements, electronic options and online resources.

These online orientations offer you the flexibility to join live via your desktop. Providers, billers, clinical and administrative staff are encouraged to take advantage of this important educational opportunity. Agenda topics will include, but are not limited to the following:

  • MMAI definition
  • Eligibility and enrollment criteria and key dates
  • Key support areas for MMAI

Participating providers may select a date and time from the list below to enroll in any of the available sessions:

  • May 18, 2021 – 1 to 2 p.m. 
  • May 25, 2021 –10 to 11 a.m. 
  • June 8, 2021 – 10 to 11 a.m. 
  • June 15, 2021 – 1 to 2 p.m. 
  • June 22, 2021 – 10 to 11 a.m. 
  • July 6, 2021 – 10 to 11 a.m. 
  • July 13, 2021 – 1 to 2 p.m. 
  • July 20, 2021 – 10 to 11 a.m.