August 18, 2014

On August 8, 2014, the Illinois Department of Healthcare and Family Services (HFS) issued a three-page memo to long term care nursing home providers clarifying several issues regarding participation in the Medicare/Medicaid Alignment Initiative (MMAI). Key points of the memo include:

  • Rates
  • Timeline for Enrollment
  • Opt-Out Process
  • Bed Certification
  • Access to Prescription Drugs
  • Opportunity for Nursing Homes to Participate in MMAI/ Managed Long Term Services and Supports (MLTSS) Networks
  • Moving Residents when a Facility is not in Network
  • Continuity of Care and Care Plan Adherence
  • Nursing Home Liaison at HFS
  • Medicare Bad Debt

To view the full alert, click here.