TRANSITION TO MANAGED CARE-HEALTH BENEFITS FOR IMMIGRANT ADULTS AND SENIORS PROGRAM GOES INTO EFFECT JANUARY 1
Date: 12/19/23
Effective January 1, 2024, the Health Benefits for Immigrant Adults (HBIA) and Health Benefits for Immigrant Seniors (HBIS) program will transition from fee-for-service to Medicaid managed care.
These populations are eligible for all Medicaid benefits except the services noted below. Some exceptions apply, and applicable member cost share is outlined below.
HBIA and HBIS Membership Coverage Details | |
|---|---|
Benefits/Services not covered | Services that require copayments* |
Long Term Care Services (exception is 90-day rehab stays in a nursing facility) | Non-emergency inpatient hospital stays: $250 |
Home and community-based services | Hospital or ambulatory surgical treatment center outpatient services: 10% of the department rate |
Most transplant services (stem cell/bone marrow and kidney transplants are covered) |
|
* Meridian will waive the $100 non-emergent ER copayment.
Providers can confirm eligibility for this population through MEDI or the member’s Meridian ID card identifying their plan name as “HealthChoice Illinois – HBIA/HBIS.” An example of the HBIA/HBIS Meridian member ID card is shown below.
