The Center for Long-Term Care Reform has been monitoring and responding to the roll out of managed care in Illinois Medicaid since the launch of the managed long-term services and supports in 2010. Early in the process of transitioning to managed care, we advocated for transparency, consumer protections, and quality assurance. As managed care has matured and expanded to new areas and populations, notably to include newly eligible ACA enrollees, we have turned our attention to the capacity of managed care to reduce disparities and achieve health equity. This paper describes one managed care plan’s experience with addressing health equity based reform.