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ILLINOIS MEDICAL ASSISTANCE PROGRAM APPLICATION FOR PARTICIPATION by Health Maintenance Organizations Date of Release November 2003 State of Illinois Rod R* Blagojevich Governor Illinois Department of Public Aid 201 South Grand Avenue East Springfield Illinois 62763-0001 Barry S* Maram Director Anne Marie Murphy Ph. D. Administrator Division of Medical Program TABLE OF CONTENTS Article I - Definitions. 1 Article II - General Information*. 2 A. Statement of the Opportunity. 2 B. Minimum...
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How to fill out Illinois Medical Assistance Program Application for Participation by Health Maintenance Organizations

01
Obtain the Illinois Medical Assistance Program Application for Participation by Health Maintenance Organizations form from the official website or appropriate office.
02
Carefully read the instructions and eligibility criteria specified in the application.
03
Complete all required sections of the application, including organizational details and services offered.
04
Provide accurate financial information and documentation as required by the application.
05
Include any necessary supporting documents, such as proof of licensure and certifications.
06
Review the completed application thoroughly for any errors or missing information.
07
Sign and date the application where required.
08
Submit the application through the designated submission method, whether online or by mail.

Who needs Illinois Medical Assistance Program Application for Participation by Health Maintenance Organizations?

01
Health maintenance organizations (HMOs) that wish to participate in the Illinois Medical Assistance Program
02
Organizations looking to provide health care services to Medicaid recipients in Illinois
03
Entities seeking reimbursement for services rendered to patients covered under the Illinois Medical Assistance Program
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People Also Ask about

To participate in Medicaid, federal law requires states to cover certain groups of individuals. Low-income families, qualified pregnant women and children, and individuals receiving Supplemental Security Income (SSI) are examples of mandatory eligibility groups.
In Illinois, Medicaid is commonly referred to as “All Kids” or the “medical card.” Within Medicaid, there are different coverage groups for different populations including: All Kids, FamilyCare, Affordable Care Act (ACA) Adults, Moms and Babies, Former Foster Care, and Aid to Aged, Blind and Disabled (AABD) medical.
Which IL Families Can Apply for Affordable Care? If you're an Illinois family making under $94,200, you should be able to receive benefits. To be certain on whether or not your family will be able to receive benefits under the Affordable Care Act, you must first use the poverty requirement guidelines.
To be eligible, children must live in families with countable family income within 147 percent of the federal poverty level (FPL). The parents/caretaker relatives are eligible for coverage if the countable income is up to 138% FPL. Children covered under All Kids Assist have no co-payments or premiums.
What Are The Qualifying Conditions To Get A Medical Card In Illinois? • PTSD & Terminal Illnesses. • Acquired Immunodeficiency Syndrome (AIDS) • Agitation of Alzheimer's disease. • Fibrous dysplasia. • Glaucoma. • Hepatitis C. • Osteoarthritis. • Parkinson's disease. • Polycystic Kidney Disease.

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The Illinois Medical Assistance Program Application for Participation by Health Maintenance Organizations is a formal application process that health maintenance organizations (HMOs) must complete to become approved participants in Illinois's Medicaid program.
Health Maintenance Organizations (HMOs) that wish to provide services under the Illinois Medical Assistance Program must file this application to participate.
To fill out the application, applicants must gather necessary documentation, complete all required sections of the application form accurately, and submit it along with any additional requested materials to the appropriate state agency.
The purpose of the application is to evaluate and authorize HMOs to participate in the Medicaid program, ensuring that they meet regulatory and service delivery standards.
The application requires reporting on organizational structure, financial status, operational capabilities, compliance with standards, and any additional information pertinent to the assessment of the HMO's eligibility and credentials.
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