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Make Medicare Work Coalition (MMW) Materials on Medicaid and Managed Care Programs in Illinois

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The Make Medicare Work Coalition (MMW) is a collaboration to promote access to affordable health care options in Illinois. MMW is led by AgeOptions, Health & Disability Advocates, and Progress Center for Independent Living. We provide materials, training, and technical assistance to professionals serving older adults and people with disabilities to enable them to help their clients access health care and prescription drug services and supports. MMW was created through generous support by the Michael Reese Health Trust, the Retirement Research Foundation, and the Chicago Community Trust.

Below are some of our MMW resources and educational materials on Illinois Medicaid and Managed Care Programs.


Illinois Medicaid Program Materials

     MMW Webinar - Integrated Eligibility System (IES) Phase 2 Rollout

     On this webinar, Lauren Polite from the Illinois Department of Healthcare

     and Family Services explains the changes that will take place as a result

     of IES Phase 2, including the rollout of a new "Manage My Case" portal

     and a new appeals portal for Medicaid clients.

 

     IES Phase 2 Webinar - Recording

 

      IES Phase 2 Webinar - Slides


     Medicaid Spenddown Webinar-February 25, 2016

The webinar reviews Medicaid Spenddown eligibility for individuals enrolled in AABD/SPD Medicaid, how to apply for Medicand Spenddown, how the program works, including how to meet income and asset spenddown, and information about the "Pay-In" Spenddown program.

    Spenddown Webinar - Recording

    Spenddown Webinar - Slides                                                                   

Please Note: There is a lot of content in the webinar recording that is not noted in the slides.  For complete information presented during the webinar, please listen to the recording.

    Spenddown Webinar - FAQ


Application for Benefits Eligibility (ABE) Webinar-May 16, 2014

Please click on the webinar below to listen to Lauren Polite and John Spears from the Department of Healthcare and Family Services review the answers to commonly asked questions about the ABE system. ABE is the new system in Illinois to assist consumers in submitting applications for Medicaid, SNAP/foodstamps, Medicare Savings Programs and DHS cash benefits.

ABE Webinar- Recording

ABE Webinar- Slides

Application for Benefits Eligibility (ABE) Toolkit
(created by the Cook County Benefits Access Project)

DHS Application Cover Sheet Instructions                      AgeOptions created a cover sheet to help benefit counselors collect and provide the necessary documentation for applications to the Department of Human Services/Department of Healthcare and Family Services programs (Medicaid, SNAP, cash benefits, and Medicare Savings Programs). This cover sheet is designed to provide the DHS office with information about the application, to help avoid confusion and improve communication.

After reading the instructions, you can download the template here. (The template is a form with multiple drop-down menus, checkboxes, etc. The form is locked and cannot be changed.)

DHS Application Cover Sheet (Template)

MMW Topical Brief - Medicaid Spenddown (updated May 2014)

Click the link above to view information about the AABD Medicaid Spenddown program.

MMW Affordable Care Act Topical Brief

Click the link above to view a topical brief created by Health & Disability Advocates that includes updates and information about the Affordable Care Act implementation in Illinois. The brief also contains a section on Medicaid where you can find the eligibility information for each category of Medicaid currently available in Illinois.

Medicaid Contact Information

Please click the link above to view a listing of important Medicaid contacts, including contact numbers to call when trying to find a Medicaid provider, making a change in a current Medicaid case, enrolling in or disenrolling from Medicaid managed care plans, etc.


MMW Medicaid Managed Care Toolkit

Medicaid Managed Care Webinar- October 7, 2015

The Medicaid Managed Care Webinar reviews Illinois Medicaid Managed Care programs, including the Integrated Care Program, Medicare Medicaid Alignment Initiative, and Affordable Care Act/Family Health Plans.  **Important: Please note that this webinar does NOT include information about the Medicaid Managed Long Term Services and Supports (MLTSS) program, a “sister” program to MMAI that began on July 1, 2016. For information about that program, please see our MLTSS webinar and topical brief below.

Webinar Recording

Please note that the webinar recording above has a technical glitch affecting the audio; this glitch fades around the 4:30-5:00 minute mark in the recording. We appreciate your patience in listening to the first few minutes of the file; we know this information is important!

Webinar Slides

Frequently Asked Questions from Webinar

Medicaid Coordinated Care Plan Choice and Navigation Toolkit

Click the link above to view a toolkit created by Health & Disability Advocates. The toolkit was created for health care providers and benefits counselors to assist consumers in using and navigating health insurance options under Medicaid Coordinated Care.

Medicaid Managed Care Enrollment Timeline

Click the link above to view an enrollment/disenrollment timeline of Medicaid Managed Care programs. This timeline is for individuals enrolling in the Integrated Care Program (ICP) or ACA Adult/Family Health Plan (FHP) programs. (The Medicare Medicaid Alignment Initiative (MMAI) is not a mandatory program. People enrolled in MMAI can enroll, disenroll, or change plans at any time.)

Medicaid Managed CareTimeline – What Happens After Enrollment Into Managed Care?

Click the link above to view a timeline created by Health & Disability Advocates.  The timeline reviews what happens after a beneficiary is enrolled in a Medicaid managed care plan, including information about when a care coordinator should contact the client and when a Health Risk Screening should be completed.

Integrated Care Program (ICP)

ICP FAQ for Professionals

Click the link above to view a fact sheet created by the Progress Center for Independent Living. The ICP FAQ includes information about the program, including who the program affects, services covered under ICP, enrollment/disenrollment options, and health plans offered under the program. (updated April 2015)

Medicare Medicaid Alignment Initiative (MMAI) & Managed Long Term Services and Supports (MLTSS) Program

Medicare & MMAI/MLTSS Updates - December 14, 2016

This webinar includes: information on Seamless Conversion practices when transitioning from the Health Insurance Marketplace to Medicare, an overview of the Beneficiary Enrollment Notification and Eligibility Simplification (BENES) Act and MMAI/MLTSS enrollment procedures. (Please note-this webinar does not cover the basics of MMAI or MLTSS.)

Webinar Recording

Webinar Slides

 

MMAI & MLTSS Webinar- June 2, 2016

Laura Phelan from the Illinois Department of Healthcare & Familly Services joins us to provide an overview of the MMAI program and introduce the new Managed Long Term Services and Supports (MLTSS) program.  Beginning July 1, 2016, dual eligibles residing in the greater Chicagoland area who receive Medicaid-covered LTSS services and opted out of the Medicare Medicaid Alignment Initiative (MMAI) will be required to enroll in the MLTSS program. 

Webinar Recording

Webinar Slides

MLTSS Topical Brief

Click on the link above to view our MMW topical brief on the Medicaid Managed Long Term Services and Supports (MLTSS) program. This brief includes information on what MLTSS is, who it is for, the enrollment process, continuity of care, tips and resources.

MMAI FAQ for Professionals

Click the link above to view fact sheet that includes who MMAI affects, services covered under MMAI, enrollment/disenrollment options, and health plan options offered under the program. (Updated March 2016)

 

MMAI Consumer Materials                      

Click on the link above to access materials designed to assist professionals in their outreach to consumers about the MMAI program. The materials consist of a powerpoint that professionals can use to  present on MMAI to an audience of consumers and a consumer friendly MMAI fact sheet. Both materials are available in English, Arabic, Chinese, Hindi, Korean, Polish, Spanish, and Russian.

MMAI & Medicare Supplement Plan FAQ created by CMS

Click on the link above to view a fact sheet created by the Centers for Medicare & Medicaid Services (CMS) that describes how Medicare Supplement rules apply to consumers enrolled in the Medicare Medicaid Alignment Initiative.

     NEW! MMW Videos in American Sign Language

Click the link above to view videos created by MMW, in partnership with    the Chicago Hearing Society, with information on the Health Insurance Marketplace and the Medicare Medicaid Alignment Initiative. This page also includes videos on Medicare benefits in American Sign Language created by the Centers for Medicare & Medicaid Services. The videos include closed captioning and voice over narration and aim to relay important information in alternative formats that can be useful not only to people who use ASL, but also to individuals who may have low vision or whose first language is not English.