Tag: state of illinois medicare

Illinois Medicare-Medicaid Alignment – Managed Care in the State of Ilinois The Centers for Medicare & Medicaid Services (CMS) and State of Illinois are establishing a Federal-State partnership to implement the Medicare-Medicaid Alignment Demonstration to serve individuals eligible for both Medicare and Medicaid. This Federal/State partnership includes contracting with “Demonstration Plans” from Managed Care organizations

Illinois Medicaid is scheduled to move to a new payment system in January 2014 or before. The new methodology uses a 48 RUG grouper system. The 48 Medicaid RUG categories fall into seven major groupings. Rehabilitation: This is a new category for long term care that requires a minimum of skilled therapy days and minutes