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 other Managed Care Organizations (MCO) to implement Medicaid to all counties in Illinois. BCBSIL offers two plans: Blue Cross Community Health Plans^SM (BCCHP^SM) and Blue Cross Community MMAI (Medicare-Medicaid Plan)^SM.

Blue Cross Community Health Plans^SM

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

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

Related Resources

• 2021 CAHPS Survey Sample Questions 
• Prior Authorization Support Materials (Government Programs)
• BCCHP Provider Finder 
• Change in Authorization Requirements for Waiver Providers  
• DME Benefit Limits Verification Request Form 
• Encounter Compliant Claim Submission Requirements
• Forms
• Gaps in LTSS Services
• IAMHP Comprehensive Billing Manual 
• Government Programs Reference Guide (Medicaid) 
• Medicaid HEDIS^®
• Medicaid Service Authorization Dispute Resolution Request Form 
• Medicaid Claims Inquiry or Dispute Request Form 
• MMAI Provider Finder 
• Prenatal, Postpartum, and Reproductive Health Resources 
• SUPR Opioid Treatment Ruling 
• SUPR Services Overview and Rate Reimbursement 
• ZIKA Screening Tool for Pregnant Women