Although the Affordable Care Act is a federal law, Illinois state policymakers—including the Governor and the legislature—are responsible for implementing many of its provisions.
Illinois Health Matters will keep you up to date on the Health Care Reform Implementation Council (put into place by Governor Quinn) as well as legislation that will be enacted to implement the reforms, strategic plans and other important state-level policy developments.
For press materials or other information that may be of interest to the media community, click here.
If I am working with a Medicaid eligible adult (or “ACA Adult”) in CookCounty, do I enroll him/her in CountyCare or in ABE (the new Medicaid system in Illinois)?
The applicant can enroll in ACA Adult coverage through either CountyCare or ABE but know that there are differences between the two options. There are three key variables to consider:
1. Coverage Dates:
Between 10/1-12/31, the “Door You Choose” (either ABE or CountyCare) determines when coverage begins: only if you apply through a CountyCare Application Assistor (note: this includes calling 312-864-8200 to apply by phone, a face to face meeting is not required) can you get medical benefits before Jan 1, 2014
. If you apply through ABE, coverage begins on January 1, 2014 without backdating.
2. Benefits Package:
The benefits package for the ACA Adult group has not been finalized yet. However, beginning on January 1, 2014 (whether currently enrolled in CountyCare or enrolled in the future), CountyCare benefits are expected to be more generous than the benefit package for other (non-CountyCare) ACA Adults.
3. Provider Network:
The network of CountyCare providers is a specific CountyCare managed care network (like an HMO now) but note that the CountyCare network is expanding daily and has more than 34 providers operating in 130 service locations with CCHHS providers and many non-CCHHS hospitals, PCPs, etc. ACA Adults enrolled through ABE will be given a choice of the CountyCare network or Fee For Service coverage similar to Illinois Health Connect (only providers accepting new patients). Please note that HFS plans to eventually include all ACA Adults in the Chicago region in some form of managed care. See HFS’s “Care Coordination”
page for more information.
Do you have questions about issues like how health care reform impacts people with disabilities or children with pre-existing conditions? Learn from the experiences of others—or, submit your question here.
Starting Strong for Community Health! Webinar: Application for Benefits Eligibility (ABE)
To listen: click here
Learning Objectives for this Webinar:
- Build on the basic information presented in HFS’s ABE webinar by walking through two enrollment scenarios
- Gain an understanding of how and which ABE enrollees will choose care coordination entities
- Gain an understanding of who should enroll in CountyCare and who should enroll in ABE prior to January 1, 2014
- Gain and understanding of the long term vision for ABE and the Integrated Eligibility System (IES)
Letter to Insurance Payor about Breast Pump Coverage from Illinois Academy of Pediatrics
By implementing benefits coverage for both electric and manual breast pumps, health care plans and employers have an opportunity to impact positively the health of employees and children while enhancing quality and lowering health care costs. We encourage you to partner with health professionals to ensure that mothers receive the resources that they need to be able to continue to breastfeed. The goal of mothers exclusively breastfeeding at 6 months and beyond will never be achieved without this support.
Federal Support for Breastfeeding Under the ACA
Support for Breastfeeding under the ACA is detailed in this report. Requirements for businesses, coverage of breastfeeding supplies and support, preventive services, and The National Breastfeeding Helpline are discussed.