Medicaid

With 3.5 million Illinoisans on Medicaid, Illinois hospitals and health systems care for a significant number of patients covered by this government program, making it a priority for IHA.

Who's Covered by Illinois Medicaid

44% children
7% persons with disabilities
9% seniors

Source: HFS

ACA Hospital Access Payments

ACA Access Payments ensure that the Medicaid rate for hospital services for newly ACA covered adults is the same rate for traditional Medicaid beneficiaries.

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HFS Notices and Policies

The Illinois Department of Healthcare and Family Services (HFS) is a key resource for important provider notices and policies. Find policy updates here. 

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Hospital Assessment Redesign

The Hospital Assessment Program provides $3.8 billion in Medicaid funding for hospital and other healthcare services. IHA is working with policymakers to update the program.

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Managed Care Organization Hospital Access Program

MCO-HAP is designed to preserve and enhance Medicaid patients’ access to hospital services as Illinois Medicaid transitions to a capitated environment. See MCO-HAP and ACA MCO-HAP reports.

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Managed Care Organization Resources

IHA works to ensure Managed Care Organizations (MCOs) perform well for patients. Our policy experts monitor MCO issues for accountability and efficiency.

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Hospital Transformation Program

The redesigned Hospital Assessment Program included a $263 million pool to assist hospitals in transforming their delivery models.

Read More About Hospital Transformation Program