New Medicaid Rules in Illinois 2018



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New Medicaid Rules in Illinois 2018

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Frequently Asked Questions (FAQs) – Illinois.gov

www.illinois.gov

Many of the most important provisions of this rule will go into effect on January 1,
2018 or January 1,. 2019 and will require significant updates to the State's
Medicaid managed care programs and contracts. The best way to ensure
compliance with these provisions is to begin an RFP process now that will lead to
a new set of …

IMPORTANT: YOUR MEDICARE PLAN WON'T BE … – Illinois.gov

www.illinois.gov

2018. YOU'RE BEING ENROLLED IN A NEW HEALTH & DRUG PLAN. <Name>:
Your Medicare plan won't be offered in 2018. This means your health and
prescription … and drug coverage through the Medicare-Medicaid Alignment
Initiative (MMAI) program … plan to get information about their costs, rules, and
coverage.

Model Contract – Illinois.gov

www.illinois.gov

Sep 2, 2017 New Covered Services. 143. 7.6. Adjustments. 144. 7.7. Copayments. 144. 7.8.
Pay for Performance (P4P). 144. 7.9. Medical loss ratio guarantee. 146. 7.10.
Cost Report Requirements. 148. 7.11. Denial of payment sanction by the Centers
for Medicare and Medicaid Services. 151. 7.12. Hold harmless. 151.

The State of Illinois Medicaid Managed Care … – Illinois.gov

www.illinois.gov

Feb 27, 2017 The State of Illinois. Medicaid Managed Care. Organization Request for.
Proposals. 2018-24-001 ….. Identifies the requirements for the Financial Proposal
, in which Offerors are required to ….. 1.12.9 This solicitation is governed by
Illinois law and rules, PROVIDED, that this solicitation is a Purchase of. Care …

CY 2018 Marketing Guidance Memo for Illinois Medicare-Medicaid

www.cms.gov

Jul 25, 2017 Attached to this memorandum is the final Contract Year (CY) 2018 State-specific
Marketing. Guidance for Medicare-Medicaid Plans (MMPs) operating in the
Illinois capitated financial alignment model … State-specific Marketing Guidance,
as the requirements of the MMG that are not otherwise modified by …

(CY) 2018 Marketing Guidance for Illiniois Medicare-Medicaid Plans

www.cms.gov

Jul 25, 2017 marketing done for CY 2018 benefits. The table below summarizes those
sections of the CY. 2018 MMG that are clarified, modified, or replaced for Illinois
MMPs in this guidance. Table 1. Summary of Clarifications, Modifications, or
Replacements of MMG Guidance. Medicare Marketing Guidelines (MMG).

CY 2018 Medicare-Medicaid Plan (MMP) – CMS.gov

www.cms.gov

Aug 9, 2017 The purpose of this memorandum is to identify specific changes applicable to.
Medicare-Medicaid Plans (MMPs) and Minnesota Senior Health Options (MSHO)
D-SNPs, as well as additional flexibilities in materials related to new policies
articulated in the Medicare. Marketing Guidelines issued on July 20, …

Illinois MMPs: Contract Year 2017 Quality Improvement … – CMS.gov

www.cms.gov

Oct 5, 2017 Centers for Medicare & Medicaid Services … and Annual Updates that the
Medicare-Medicaid Plans (MMPs) operating in the Illinois … January 2018. 2. As
a result, the MMPs in Illinois will be required to submit the Annual Update #3
directly to the state for a state-only review. The state will determine the …

State Guide to CMS Criteria for Medicaid Managed … – Medicaid.gov

www.medicaid.gov

Jan 20, 2017 update to the 2015 State Guide to CMS Criteria for Managed Care Contract
Review and Approval. The guide is … separate contract) covering the state fiscal
year beginning on or after July 1, 2018. Note that this ….. covered benefits to new
eligibility groups, the state has submitted a readiness review in.

Poverty Guidelines – USCIS

www.uscis.gov

Mar 1, 2017 2017 HHS Poverty Guidelines for Affidavit of Support. Department of Homeland
Security. U.S. Citizenship and … These poverty guidelines remain in effect for use
with Form I-864, Affidavit of Support, from March 1, 2017 until new guidelines go
into effect in 2018. Minimum Income Requirements for Use in …

Issues affecting dual-eligible beneficiaries – Medicare Payment …

www.medpac.gov

For Medicaid, dual eligibles represented about 14 percent of enrollment and
about 33 percent of total spending. The Commission has examined numerous
issues related to dual-eligible beneficiaries in recent years. This work organizes
broadly into two areas of interest: (1) the development of new models of care that
could …

Updates on Managed Care for Dual Eligibles & Medicare …

ncler.acl.gov

Sep 20, 2017 The National Center on Law and Elder Rights (NCLER) provides the legal
services … programs that poor seniors depend on, including Medicare, Medicaid,
… September 2013. December 2020 (extension pending). New York-FIDA.
January 2015. December 2019 (extension pending). New York FIDA IDD.

Final rule – US Government Publishing Office

www.gpo.gov

Nov 7, 2017 Medicaid Services (CMS), HHS. ACTION: Final rule. SUMMARY: This final rule
updates the home health prospective payment system (HH PPS) payment ……
The new thresholds, based off the CY 2018 four- equation model points are
shown in. Table 3. TABLE 3—CY 2018 CLINICAL AND FUNCTIONAL …

Humana Health Plan, Inc. – OPM

www.opm.gov

Humana Health Plan, Inc. feds.humana.com. Customer Service 800-4HUMANA.
2018. A Health Maintenance Organization. (High, Standard and Basic Option) …
our geographic service area to enroll. See page 13 for requirements. Enrollment
codes for this Plan: Central and Northwestern, IL: 9F1 High Option – Self Only.

Senior Services Brochure – Lake County, IL

www.lakecountyil.gov

May 9, 2017 information, “like” us on Facebook at Lake County – Illinois Recorder of Deeds.
All of us in the ….. qualifications. • Must file a new application each new tax year. •
You may apply for other senior tax programs even though you are on the deferral
program. ….. under Medicare/Medicaid for medical expenses.

Monthly Income Guidelines – Alabama Department of Public Health

www.alabamapublichealth.gov

Family Size. Medicaid. ALL Kids. Medicaid. ALL Kids. 1. 0-$1,468. $1,469-$3,186
. 0-$17,608 $17,609-$38,231. 2. 0-$1,976. $1,977-$4,291. 0-$23,711 $23,712-$
51,481. 3. 0-$2,485. $2,486-$5,395. 0-$29,814 $29,815-$64,732. 4. 0-$2,993.
$2,994-$6,499. 0-$35,916 $35,917-$77,982. 5. 0-$3,502. $3,503-$7,603.

The Healthy Brain Initiative:The Public Health Road Map for State …

www.cdc.gov

The Healthy Brain Initiative: The Public Health Road Map for State and National
Partnerships, 2013–2018: Chicago, IL: Alzheimer's Association; 2013. … and
economic strain on Medicare and Medicaid programs as the major funders of this
…. cites the goal of the new topic area to “reduce the morbidity and costs
associated …

Medicaid Coverage Suspension for Incarcerated Persons

www.hca.wa.gov

Dec 1, 2016 Executive Summary. Substitute Senate Bill (SSB) 6430, which took effect on June
9, 2016 as Laws of 2016 Chapter 154, directs the Health Care Authority (HCA) to
suspend, rather than terminate, medical assistance benefits for persons who are
incarcerated or committed to a state hospital, starting July 1, …