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Illinois Medicaid

Humana Gold Plus® Integrated Medicare-Medicaid is available to Illinois residents who are eligible for Medicare and Medicaid coverage and benefits. We are pleased to partner with our providers to help improve the wellness and health outcomes for our members.

Doctor speaking to Medicaid member

  • FRAUD ALERT: Please remind your patients with Medicaid coverage that Illinois will never ask for money to renew or apply for Medicaid. If they receive a request to pay to renew or apply for Medicaid, please ask them to report the scam on the fraud report website or call the Medicaid fraud hotline at 844-ILFRAUD (453-7283).

It’s time for your patients with Medicaid to renew their Medicaid coverage

Illinois is checking to make sure Medicaid recipients in Illinois are still eligible for Medicaid coverage, and the Illinois Department of Healthcare and Family Services is asking all providers who care for Medicaid recipients in Illinois to reinforce the importance of completing the renewal process.

To help make sure your patients with Medicaid coverage don’t accidentally lose their coverage and benefits, please remind them to:

  • Visit the application for benefits eligibility page, sign in to their account and select Manage My Case.
  • Verify your mailing address under Contact Us, which will display as an option after they sign in to their account.
  • Locate their due date (the “redetermination” date) in their Benefit Details. They can opt in for text and email alerts about their renewal date by Account Management tab under Manage your communications preferences.

Everyone’s renewal date is different, so it is critical that Medicaid recipients in Illinois get ready to renew.

Members will receive renewal information in the mail about 1 month before their renewal date. They must complete and return it right away. They can complete their renewal online, by returning in the mail or by calling 800-843-6154.

For help with their renewal, members can call 800-843-6154.

Provider notices and updates

From time to time, we post key information and updates for our providers, including reminders and administrative updates.

Access key provider notices and updates

Provider documents

We make available key provider documents, including the Provider Resource Guide and Provider Manual, and documents the Department of Healthcare and Family Services asks us to make available to our providers.

Access provider documents

Provider training materials

Humana and the state of Illinois require all entities participating with dual Medicare-Medicaid plans and Medicaid plans—including those contracted with subsidiaries—complete the following training materials:

  • Cultural competency training
  • Health, safety and welfare education training
  • Medicaid provider training
  • Humana orientation training
  • Compliance and fraud, waste and abuse training

Access, complete and submit required trainings

Illinois regions

The Humana Gold Plus® Integrated Medicare-Medicaid plan is available statewide in Illinois.

Map of Illinois regions] [alt text: map of Illinois regions covered by Humana Medicaid