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Molina Healthcare Selected To Participate In The Illinois Integrated Care Delivery System For Dual Eligibles

Stocks in this article: MOH

Molina Healthcare, Inc. (NYSE: MOH) today announced that its Illinois health plan, Molina Healthcare of Illinois, has been chosen to serve members in Central Illinois under the state’s Medicare-Medicaid Alignment Initiative (MMAI). This initiative is intended to improve care coordination for seniors and adults with disabilities enrolled in both Medicare and Medicaid. The selection of Molina Healthcare of Illinois was made by the Illinois Department of Healthcare and Family Services pursuant to its request for proposals issued in May 2012. The commencement of the initiative is subject to the readiness review of the selected health plans and the execution of three-way provider agreements between the health plans, the Department, and the federal Centers for Medicare and Medicaid Services (CMS). The MMAI is subject to federal approval. The operational start date for the program, which will serve approximately 136,000 dual eligible members in the state, is currently scheduled for Fall of 2013.

“We are excited to be selected as one of the plans to manage the health care of this vulnerable population in Illinois,” said Terry Bayer, chief operating officer of Molina Healthcare. “We have years of experience across the country in coordinating care for at-risk individuals who are eligible for both Medicare and Medicaid. Our prior experience with this population will help us to improve health outcomes while we reduce costs for the state of Illinois.”

The Central Illinois area includes Knox, Peoria, Tazewell, McLean, Logan, DeWitt, Sangamon, Macon, Christian, Piatt, Champaign, Vermilion, Ford, Menard, and Stark counties. In addition to the MMAI, Molina will also serve other seniors and persons with disabilities in the Medicaid Program as the state expands the Integrated Care Program that was implemented in suburban Cook County and the five collar counties in May of 2011.

Molina Healthcare has also been selected to participate in dual eligibles demonstration projects in California and Ohio, which are scheduled to begin in 2013.

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