FRAUD ALERT: Please remind your patients with Medicaid coverage that Illinois will never ask for money to renew or apply for Medicaid. If they receive a request to pay to renew or apply for Medicaid, please ask them to report the scam on the fraud report website or call the Medicaid fraud hotline at 844-ILFRAUD (453-7283).

Provider notices and updates

An alert from the Illinois Department of Healthcare and Family Services: Illinois Medicaid Program Advanced Cloud Technology (IMPACT) revalidation

Provider notice: Medicaid provider revalidation

It’s time for your patients with Medicaid to renew their Medicaid coverage

Illinois is checking to make sure Medicaid recipients in Illinois are still eligible for Medicaid coverage, and the Illinois Department of Healthcare and Family Services is asking all providers who care for Medicaid recipients in Illinois to reinforce the importance of completing the renewal process.

To help make sure your patients with Medicaid coverage don’t accidentally lose their coverage and benefits, please remind them to:

  • Visit the application for benefits eligibility page , sign in to their account and select Manage My Case.
  • Verify your mailing address under Contact Us, which will display as an option after they sign in to their account.
  • Locate their due date (the “redetermination” date) in their Benefit Details. They can opt in for text and email alerts about their renewal date by Account Management tab under Manage your communications preferences.

Everyone’s renewal date is different, so it is critical that Medicaid recipients in Illinois get ready to renew.

Members will receive renewal information in the mail about 1 month before their renewal date. They must complete and return it right away. They can complete their renewal online , by returning in the mail or by calling 800-843-6154.

For help with their renewal, members can call 800-843-6154.

Humana Gold-Plus Integrated® Medicare-Medicaid plan statewide expansion

Humana is pleased to announce that the Centers for Medicare & Medicaid Services (CMS) and the state of Illinois approved the expansion of the Illinois Medicare-Medicaid plan effective July 1, 2021. Humana Gold-Plus Integrated Medicare-Medicaid plan statewide expansion information

Introducing CenterWell Pharmacy

On June 11, 2022, Humana Pharmacy® became CenterWell Pharmacy™. This name change reflects the pharmacy’s commitment to put your patients at the center of all it does. This brand change also applies to Humana Specialty Pharmacy®, which became CenterWell Specialty Pharmacy™.

Learn more about the name change

Coronavirus (COVID-19)

For additional information, please visit our COVID-19 provider resources page and our COVID-19 vaccine information page .

Updates About Additional Doses of the COVID-19 Vaccine

Executive Order 2021-15: Extension for Telehealth Coverage – Effective through Aug. 21, 2021

COVID-19 Vaccine Toolkits – Updated March 15, 2021

COVID-19 Vaccines: Potential Fraud and Schemes

COVID-19 Vaccine Toolkits – Updated Jan. 7, 2021

Access to COVID-19 Vaccine Data for Parts C & D Enrollees

Updates to the Coverage and Reimbursement of COVID-19 Vaccines

COVID-19 Additional Policy and Regulatory Revisions

COVID-19 Vaccine Toolkits

COVID-19 Vaccine Significant Cost Determination

Updated COVID-19 Fee Schedule – September 14, 2020

Administrative updates

Updated skilled nursing facility retro rate letter process

Please send us any state-issued updated IL MMAI skilled nursing facility (SNF) retro rate letters as soon as you receive them to us for processing.

Learn why this is important and how to submit these letters to us

Home and Community-Based Services (HCBS) Billing Changes

Provider Dispute Process

Balance Billing Members

Illinois Medicaid

  • Illinois Medicaid
  • Illinois Medicaid Provider Notices and Updates
  • Illinois Medicaid Provider Documents
  • Illinois Medicaid Provider Training Materials
  • Illinois Medicaid Provider Long-Term Services & Support