Transition of Care
We know change can be scary. IlliniCare Health wants to make this change easy. Whether you are new to Illinois Medicaid Managed Care or are changing health plans, we will make sure you continue to get the services you need.
One of the most common obstacles to switching Medicaid plans is maintaining your relationship with the providers that know you best. Our staff will work with you and your providers to continue any services you are receiving even if the provider is not in our network.
It is important to let us know right away if you are getting services that you will need to continue so that we can provide you with the information you need to continue receiving the health care you need on our Medicaid Managed Care plans or so that we can assist you with transitioning to a new provider.
We provide you with the information you need on how to switch health plans and continue receiving the services you need.
We will honor authorized services for the first 90 days of your enrollment or until the end of your pregnancy. After that time we may require authorization for the service. We will let you stay with an out-of-network providers for up to 90 days. In some cases you may be able to keep your out-of-network provider for a longer period of time. We will help you find a provider in our network that can provide the services you need. Our case managers can help get your medical records transferred to your new provider. Call our Member Services department toll-free at 866-329-4701 (TTY: 711) if you have questions about transitioning your care.