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CountyCare (State of IL 1115 Waiver)

CountyCare (State of IL 1115 Waiver) “The State of Illinois and Cook County Health & Hospitals System will be operating a new Medicaid program for uninsured adults in Cook County called CountyCare.   This is a Medicaid program through the Affordable Care Act (Healthcare Reform).  CountyCare will provide coverage for tens of thousands of currently uninsured patients, as CCHHS transforms into a patient-centered continuum of care. This transformation is changing the way that patients enter CCHHS, as they will be assigned intelligently (based on risk, complexity and need) to patient-centered medical homes instead of relying on the emergency department for basic services while waiting for new appointment availability. It is changing the way that care is delivered at the clinic site, as medical home teams built around primary care providers will coordinate all services needed by their own panel of patients, supported by care management and information technology. It is changing the way that services are delivered within the broader system, as emergency, specialty outpatient, diagnostic and inpatient services are reconfigured to assure that the care of patients is coordinated by their medical home and that they are returned there. It is changing the way in which CCHHS works with other providers caring for similar populations, as new partnerships are being developed to assure adequate primary care capacity, geographic accessibility to specialty and inpatient services and connections to services that CCHHS does not provide itself. The attached FAQs will be continually updated.  CCHHS is currently in the pre-enrollment phase of 1115 waiver implementation.  There will be a controlled roll out of the application process.  As of today, the questions answered in this document are based on the approved CMS Terms & Conditions, which HFS has 30 days to accept.   Therefore, please understand the FAQs are subject to change. Once the final Terms & Conditions are received, we look forward to working with the public on this waiver.”  Download the FAQs