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.
IHA Comments on HealthChoice Medicaid MCO Request for Proposal
IHA recently submitted a comment letter to HFS on the upcoming HealthChoice Illinois Medicaid Managed Care Organization (MCO) request for proposal.
IHA Summary: Medicaid Managed Care and Prior Authorization Reform Bills
This memo summarizes recent state legislation to reform clinical and reimbursement policies implemented by commercial health insurance issuers and Medicaid MCOs.
Medicaid Claim Submission Pipeline Implementation
HFS began the initial launch of its new claim rejection and denial management system.
Medicaid MCO Dispute Resolution Process Begins Feb. 28
The Dept. of Healthcare and Family Services is implementing a new Medicaid Managed Care Organization Dispute Resolution Process as of Feb. 28.