Welcome, Illinois Medicare-Medicaid Plan Health Care Providers

Illinois' Medicare-Medicaid Plan is Going Statewide Effective July 1, 2021!

Molina Healthcare is participating in a program with the Centers for Medicare & Medicaid Services (CMS) and the Illinois Department of Healthcare and Family Services (HFS) called the Medicare-Medicaid Alignment Initiative (MMAI). This program benefits our members by providing the convenience of coordinated care with one Primary Care Provider (PCP) and one ID card.

In Illinois, Molina's Medicare-Medicaid Plan (MMP) is called Molina Dual Options.

Contracted providers are an essential part of delivering quality care to our members, and we value our provider partnerships.

Do you have a contract with Molina Healthcare of Illinois for MMP? Click here to Join Our Network! Contact the Provider Network Management team at (855) 866-5462 with questions.

Need a Prior Authorization?

* When Prior Authorization is 'Required', click here to create Service Request/Authorization

PA Lookup tool is under maintenance.

Please refer to the state specific Excel matrix while the PA Lookup Tool is disabled.

Become a Molina Provider

Would you like to become a Medicare-Medicaid Plan (MMP)/Dual Options provider with Molina? Visit our page called Join Our Network for step-by-step instructions.

Provider Education Series

Molina Healthcare of Illinois hosts provider training sessions throughout the year. Our webinars are free and open to all network providers and their medical and office staff.

Registration is quick and easy! Click here to view and register for upcoming sessions.

 

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