Illinois Medicaid Requiring Care Coordination Plans To Become Full-Risk Managed Care Entities

By July 1, 2016, the Illinois Medicaid program will transition members of Care Coordination Entities (CCEs) and Accountable Care Entities (ACEs) to full-risk managed care plans. To do this the CCEs and ACEs will become a Managed Care Community Network (MCCN) or will create partnerships with managed care organizations (MCOs) to create full-risk delivery systems. Currently, the eight CCEs and nine ACEs receive fee for service (FFS) reimbursement, plus a per member per month (PMPM) payment for care coordination. The Illinois Department of Healthcare and Family Services (HFS) expects all CCE and ACE transitions to be complete by . . .