Managed Care Organization Resources

IHA is working to ensure Managed Care Organizations (MCOs) perform well for patients. Our policy experts monitor MCO activities and issues for opportunities for greater accountability and efficiency. 

MCOs are tasked with improving performance, quality and patient outcomes. Oversight, transparency and accountability for these goals are top priorities for IHA and our members, as Illinois seeks to move most Medicaid enrollees into MCOs.

Jul 18, 2018

Medicaid MCOs Transition to New, Universal Provider Roster Template

IHA worked with HFS and IAMHP to develop a new, universal provider roster.

Jul 17, 2018

MCO Administrative Performance Survey Results

Results of IHA's most recent member survey on MCO performance in 4th quarter 2017.

May 08, 2018

Medicaid Operational and Financial Performance Surveys

At the direction of IHA’s Board of Trustees, IHA continues to conduct quarterly Medicaid MCO operational performance surveys during 2018.

Apr 30, 2018

MCO Administrative Performance Survey Results

Results of IHA's most recent member survey on MCO performance in 3rd quarter 2017.

Apr 25, 2018

HFS Consulting and Audit Contract

Update on the Dept. of Healthcare and Family Services audit of open Medicaid MCO payables.

Feb 23, 2018

Medicaid MCO Update: HFS Consulting and Audit Contract

Update on HFS activities with independent consulting and audit firm Myers & Stauffer, LLC and its ongoing audit.

Jan 02, 2018

IHA Update: Managed Care Expansion/Jan. 24 Webinar

IHA's is offering a series of educational activities to help hospitals prepare for the state's new Medicaid managed care program, launched on Jan. 1.

Oct 12, 2017

MCO Update

Updates on the final Managed Care Organization awards and the closeout of the current MCO contracts.
Aug 23, 2017

Medicaid MCO Contract Awards

On Friday, August 11, 2017, HFS announced plans to award contracts to six MCOs to provide covered services to certain Medicaid-eligible populations.
Jul 11, 2017

Medicaid Model Contract Recommendations

IHA provided recommendations to the Department of Healthcare and Family Services designed to strengthen the MCO Model Contract between the state and the MCOs. 
Jan 09, 2017

Senate Bill 3080 Summary

Proposed rule addressing Medicaid eligibility discrepancies; IHA comment letter
Dec 14, 2016

Senate Bill 3080 Update

Senate Bill 3080 addresses key oversight and transparency issues that IHA members raised about Medicaid Managed Care Organizations.
Dec 13, 2016

HFS MCO Dashboard

HFS MCO Performance Dashboard

Jul 22, 2018

Medicaid FFS, State PPO and Medicaid MCO Aging Accounts Receivable Balances

IHA is asking for your participation in completing the second quarter surveys for 2018.