August 24, 2011

State Continues Self-Insured Managed Care Plans

THE COMMISSION on Government Forecasting and Accountability (COGFA) held a hearing on Aug. 16 to consider a request by the State to continue to offer self-insured managed care plans. At the end of that hearing, COGFA voted to authorize the State to continue to offer the self-insured managed care plans through June 30, 2012.

BASED ON that decision, the State of Illinois Department of Healthcare and Family Services is in the process of negotiating with both the self-insured managed care plans (HealthLink OAP, PersonalCare OAP, and Health Alliance Illinois) and the fully-insured managed care plans (Health Alliance HMO and PersonalCare HMO) on extensions of the current contracts.

IF THE contract with any vendor is not extended, the Group Insurance Division will hold a Special Enrollment Period in September for the affected members of that plan(s) only. Those elections would be effective Thursday, Sept. 29. A second Special Enrollment Period will be held for all members later in the fall. Alternatively, if all current contracts are extended, a Special Enrollment Period will be held for all members later in the fall.

FOR NOW, the important thing to realize is that nothing has changed. Members remain enrolled in and covered by their current health carrier. Updated information will be posted on the website of the Illinois Department of Central Management Services as it becomes available.

No comments:

Post a Comment