In February, we shared a new fact sheet from The Arc of Illinois Family to Family Health Information Center (HIC) with information on the Illinois Medicaid Redetermination Program (IMRP). Consumers can now e-mail information to Maximus and all consumers will be notified of the results of the redetermination process.  We have updated our fact sheet to reflect those changes. Attached is the updated IMRP Fact Sheet.
 
Please let us know if you have any questions. You may contact The Arc of Illinois Family to Family HIC at 866-931-1110 for more information
 
Background Information
 
In 2012, the Illinois Legislature passed the Saving Medicaid Access and Resources Together Act (called the SMART Act, for short), designed to save money by streamlining the operations and services of our state’s Medicaid program.
 
The goals of the Illinois Medicaid Redetermination Project (IMRP) include both catching up on the backlog of cases waiting for redetermination and ensuring that future redeterminations will be carried out in a timely manner.  Each year, everyone enrolled in Medicaid must undergo a redetermination (sometimes called “rede”) to find out if they are still eligible.
 
The new IMRP is being carried out under contract with two private vendors, Maximus and HMS. They have developed a joint data matching system to expedite redeterminations.  The IMRP, which is also called Enhanced Eligibility Verification (EEV), is being run under contracts between the Illinois Department of Healthcare and Family Services (HFS) and two private companies:1.   MAXIMUS Health Service, Inc.:
http://www.maximus.com/services/health/eligibility-enrollment-modernization
 
2.   HMS: http://hmspermedion.com/our-services/healthcare-data-mining
 
HMS will provide MAXIMUS with a data mining computer system that will review records electronically and select those people who are most likely to be eligible as well as those who are most likely to no longer be eligible. They will do this by matching data across agencies and programs. This is being done “behind the scenes”. HMS forwards the information to MAXIMUS. Consumers and providers do not interact with HMS, only with MAXIMUS.
 
Read our entire report  by going to the link above.
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Tony Paulauski
Executive Director
The Arc of Illinois
20901 S. LaGrange Rd. Suite 209
Frankfort, IL 60423
815-464-1832 (OFFICE)
815-464-1832 (CELL)
Tony@www.thearcofil.org