Addressing Healthcare Needs of the ABD Medicaid …

State of Illinois

Addressing Healthcare Needs of the

ABD Medicaid Population

Jim Parker, Deputy Administrator

Illinois Department of Healthcare and Family Services

Division of Medical Programs

Illinois Population Facts

? Total State Population

~12.6 million individuals

? 7.7 million in Chicago and surrounding counties (61%)

? 2.9 million in Chicago (23%)

? 4.9 million in downstate Illinois (39%)

? Total Medicaid Eligible Population

~2.8 million at end of FY09

? Illinois Aged, Blind, Disabled (ABD) Population

? Total ¨C approximately 409,500 individuals

? Non-dually eligible ¨C approximately 171,000

¨C Ages 0-18: 19,345 individuals

¨C Ages 19-64: 136,385 individuals

¨C Ages > 65: 15,250 individuals

Illinois ABD Population

Health Care Delivery Models

Illinois Health Connect (IHC)

Your Healthcare Plus (YHP)

Illinois Integrated Care Program

Illinois Health Connect (IHC)

? Statewide Primary Care Case Management Program

¨C Implemented in July 2006

¨C Administered by Automated Health Systems (AHS)

? Based on patient-centered medical home model of the

American Academy of Pediatrics

? Program Goals

¨C Improve quality of healthcare and increase utilization of

primary and preventive care

¨C Reduce inappropriate emergency room utilization

¨C Improve healthcare access

¨C Provide the most appropriate and effective level of care

Illinois Health Connect (IHC)

? Impacted Population

¨C Currently 2.0 million are eligible to participate in IHC, including

most children enrolled in All Kids.

¨C 1.76 million are enrolled with IHC for their medical home.

¨C 194,000 enrolled with a MCO for their medical home.

? Current Medical Homes

¨C 5,640 medical homes (including FQHC and RHC sites)

¨C Panel capacity of over 5.3 million (greater capacity than the entire

eligible population)

? Expansive coverage offers several choices to clients in most

counties

 ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download