Blue Review
A newsletter for contracting institutional and professional providers

June 2021

Update: Medicare Medicaid Alignment Initiative Expansion

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 Douglas Jackson Menard Sangamon
Bond DuPage Jefferson Mercer Schuyler
Brown Edgar Johnson Montgomery Scott
Bureau Fayette Kane Morgan Shelby
Calhoun Ford Kankakee Moultrie Stark
Carroll Franklin Kendall Ogle Tazewell
Christian Fulton  Knox Peoria Union
Clark Gallatin La Salle Perry Warren
Clay Greene Lake Piatt Washington
Clinton Grundy Lee Pike Wayne
Coles Hamilton  Livingston Pope White
Cook Hardin Logan Pulaski Will
Cumberland Hardin Macoupin Putnam Williamson
De Witt Henderson Mason Randolph Woodford
Dekalb 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 aren’t 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 aren’t 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: