Medicaid

The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with Blue Cross and Blue Shield of Illinois (BCBSIL) along with five other Managed Care Organizations (MCO) to implement Medicaid to all counties in Illinois. Two additional plans will provide managed care to the Cook County area only. As of Jan. 1, 2018, the Blue Cross Community Health PlansSM (BCCHP) network will incorporate the three networks formerly known as Blue Cross Community Integrated Care Plan (ICP)SM, Blue Cross Community Family Health PlanSM (FHP) and Blue Cross Community Managed Long Term Supports and ServicesSM (MLTSS).


Blue Cross Community Health PlansSM

Blue Cross and Blue Shield of Illinois (BCBSIL) offers Blue Cross Community Health Plans (BCCHP) which includes a network of independently contracted providers including physicians, hospitals, skilled nursing facilities, ancillary providers, Long-term Services and Support (LTSS) and other health care providers through which Illinois Medicaid members may obtain covered services. Learn more


Blue Cross Community MMAI (Medicare-Medicaid Plan)SM

The Centers for Medicare & Medicaid Services (CMS) and the State of Illinois have contracted with BCBSIL along with other Managed Care Organizations (MCO) to implement MMAI. Learn more


Introduction for New Providers

As a new independently contracted Blue Cross and Blue Shield of Illinois (BCBSIL) Medicaid provider (or a new employee of a provider's office), we encourage you to take advantage of the online information and other reference material available to you. Learn more


Objectives and Goals

BCCHP and MMAI are designed to improve accessibility and availability of care with a focus on maintaining our members’ independence. Learn more


Potential Members and the Enrollment Process

Individuals may enroll for BCCHP and MMAI when specific criteria are met. Medicaid waivers also may apply to BCCHP and MMAI members who meet all other criteria. Learn more


Person Centered Practice and Care Coordination

A person centered practice involves primary health care that is relationship-based with a focus on the individual. Coordination by a health care team is critical to help ensure that each member receives all services as needed, according to their health benefit plan. Learn more


Critical Incidents -- Health, Safety and Welfare

To help ensure the health, safety and well-being of vulnerable individuals, it is important to report critical incidents of abuse, neglect and financial exploitation to the appropriate authorities. Learn more


Home and Community Based Waiver Program

Under the Affordable Care Act (ACA), there will be greater access to Home and Community Based Services (HCBS) through Long Term Services and Supports (LTSS) providers who provide medical and non-medical services to seniors and people with disabilities in need of sustained assistance. Learn more


Provider Training Requirements and Resources

It is a CMS and/or State of Illinois requirement for BCBSIL to make available provider training on specified topics related to BCCHP and MMAI. Learn more