IL MEDICAID MARKET

Illinois

Name: Illinois Medicaid Managed Care RFP & Procurement Intelligence | Precapture
Creator: Precapture

award implementation, plan transition and sanction remediation

HFS says current HealthChoice Illinois contracts expire December 31, 2026. BidBuy 26-478HFS-MEDPR-B-49167 records a June 8, 2026 notice of award. Meridian enrollment hold remains pending HFS/EQRO remediation; Humana enrollment is open for January 1 coverage

Last verified 30 days ago

Last verified 30 days ago · unknown because newest item is older than 21 days

Current reprocurement

PERFORMANCE

Verification tier 2

Illinois imposes a monetary sanction on Meridian (amount for subscribers), corrective-action plan and enrollment hold

August 14, 2026

Illinois HFS sanctioned Meridian Health Plan (monetary sanction, amount for subscribers) for multiple HealthChoice Illinois contract failures involving HCBS waiver service planning, authorizations, appeals and care-coordinator training. HFS imposed an enrollment hold effective August 22, 2026, suspending automatic assignments and new enrollment until the department, in consultation with its EQRO, determines that deficiencies are resolved. The state enrollment site says current members may remain enrolled and waiver-service members qualify for a special enrollment period while the hold remains in place.

Precapture analysis

The active hold creates near-term enrollment and reputation pressure for Meridian while making HCBS remediation, appeal accuracy, service-plan documentation and state/EQRO validation measurable competitive issues during Illinois contract implementation.

AWARD

Verification tier 2

Illinois opens Humana enrollment and sets MLTSS plan transitions

June 9, 2026

Illinois formally awarded new HealthChoice Illinois contracts to Aetna, Blue Cross Blue Shield, Humana, Meridian, Molina and CountyCare. The state's official enrollment site says eligible clients may choose Humana for HealthChoice Illinois or MLTSS beginning October 16, 2026, with coverage effective January 1, 2027 and a special enrollment period through March 31, 2027 for otherwise locked-in clients. The same official page says CountyCare and Blue Cross Blue Shield will leave MLTSS after December 31, 2026, and affected MLTSS members must choose a new plan by that date for January 1 coverage.

Precapture analysis

The award has entered member-choice and transition execution. Humana now has a defined enrollment runway, while the MLTSS changes create near-term member communication, plan selection, continuity and receiving-plan capacity tests.

PROCUREMENT

Verification tier 2

Illinois BidBuy records a June 8, 2026 notice of award for HealthChoice Illinois

June 8, 2026

BidBuy solicitation 26-478HFS-MEDPR-B-49167 is an HFS HealthChoice Illinois procurement. The page lists a bid opening date of November 13, 2025. The amendment list includes Addendum #1, Addendum #2, and a June 8, 2026 notice of award. A BidBuy No Bid warning on that list is not an addendum. The HFS procurement page states that current HealthChoice Illinois contracts expire on December 31, 2026.

Precapture analysis

The BidBuy docket records a notice of award dated June 8, 2026. The HFS procurement page states that current HealthChoice Illinois contracts expire on December 31, 2026. The notice attachment was not retrieved, so a replacement contract end date remains unstated in this item.

MARKET_MOVEMENT

Verification tier 2

Illinois reports September 1, 2026 managed-care enrollment by plan

September 1, 2026

The HFS detailed managed-care enrollment report as of September 1, 2026 lists these plan totals: Aetna Better Health 331,185; BlueCross/Blue Shield of Illinois 679,512; CountyCare 374,872; Humana Health Plan 26,471; Meridian Health Plan 607,540; Molina Health Care 270,415; YouthCare 35,707. The report says YouthCare is administered by Meridian Health. The HealthChoice Illinois contact page lists Aetna Better Health of Illinois, Blue Cross Community Health Plan, CountyCare Health Plan for Cook County only, Meridian Health Plan, and Molina Healthcare.

Precapture analysis

The September 1, 2026 report is the latest monthly enrollment file retrieved. CountyCare's total on that report is 374,872. YouthCare's total is 35,707 and the report says YouthCare is administered by Meridian Health.

Plans in market

Plans in market 7

Aetna Better Health of Illinois · HealthChoice Illinois · incumbent · source · as of 2026-10-27
Blue Cross Community Health Plan · HealthChoice Illinois · incumbent · source · as of 2026-10-27
CountyCare Health Plan · HealthChoice Illinois · incumbent · source · as of 2026-10-27
Meridian Health Plan · HealthChoice Illinois · incumbent · source · as of 2026-10-27
Molina Healthcare · HealthChoice Illinois · incumbent · source · as of 2026-10-27

show all 7

Humana Health Plan · Illinois Medicaid managed care · incumbent · source · as of 2026-09-01
YouthCare · YouthCare · incumbent · Meridian Health · source · as of 2026-09-01

Plans in this market

Parent, plan, and program come from the plan graph. Enrollment and share use the latest CMS reported count. Operations counts are CMS MCPAR. A dollar amount is not on this page.

Plans in this market 44

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
CVS/Aetna	Aetna Better Health	not reported	28,449 (2017)	24.9% calculated	not reported
CVS/Aetna	Aetna Better Health	not reported	12,915 (2024)	21.7% calculated	7 sanctions, 6,092 appeals resolved
Centene	Harmony Health Plan	not reported	250,609 (2018)	11.7% calculated	not reported
Centene	IlliniCare Health	not reported	13,590 (2020)	23.9% calculated	not reported
Centene	IlliniCare Health Plan	not reported	371,043 (2020)	15.9% calculated	not reported

show all 44

Parent	Plan	Programs	Latest CMS enrollment	Share	MCPAR operations
Centene	Meridian Health	not reported	12,051 (2024)	20.3% calculated	9 sanctions, 10,516 appeals resolved
Centene	Meridian Health Plan	not reported	5,702 (2017)	20.2% calculated	not reported
Centene	Meridian Health Plan	not reported	572,164 (2018)	26.7% calculated	not reported
Centene	Meridian Health Plan	not reported	791,026 (2019)	37.3% calculated	not reported
Centene	Meridian Health Plan	not reported	831,747 (2020)	35.6% calculated	not reported
Centene	Meridian Health Plan	not reported	14,510 (2020)	25.5% calculated	not reported
Centene	YouthCare	not reported	35,422 (2024)	1.4% calculated	6 sanctions, 442 appeals resolved
Cigna	Cigna-HealthSpring	not reported	4,565 (2017)	4.0% calculated	not reported
not reported	CountyCare	not reported	356,870 (2020)	15.3% calculated	not reported
not reported	CountyCare Health Plan	not reported	9,446 (2024)	15.9% calculated	8 sanctions, 5,915 appeals resolved
not reported	CountyCare	not reported	6,192 (2019)	11.8% calculated	not reported
not reported	Community Care Alliance of Illinois	not reported	7,745 (2017)	6.8% calculated	not reported
not reported	Family Health Network	not reported	216,912 (2017)	12.3% calculated	not reported
Health Care Service Corporation	Blue Cross Blue Shield of Illinois	not reported	18,049 (2020)	31.7% calculated	not reported
not reported	Blue Cross Blue Shield of Illinois	not reported	525,565 (2020)	22.5% calculated	not reported
not reported	Blue Cross Community Health Plans	not reported	19,233 (2024)	32.3% calculated	6 sanctions, 8,824 appeals resolved
not reported	Blue Cross Community Health Plans	not reported	20,999 (2021)	32.4% calculated	not reported
Humana	Humana Health Plan	not reported	5,112 (2017)	4.5% calculated	not reported
not reported	Illinois Health Connect	not reported	320,335 (2017)	100.0% calculated	not reported
Molina	Molina HealthCare	not reported	308,735 (2021)	11.8% calculated	not reported
Molina	Molina HealthCare	not reported	328,487 (2022)	12.0% calculated	not reported
Molina	Molina HealthCare of Illinois	not reported	4,187 (2020)	7.4% calculated	not reported
Molina	Molina Healthcare	not reported	5,808 (2024)	9.8% calculated	7 sanctions, 2,559 appeals resolved
Molina	Molina Healthcare of Illinois	not reported	252,170 (2020)	10.8% calculated	not reported
not reported	NextLevel Health Partners	not reported	47,529 (2019)	2.2% calculated	not reported
not reported	Aetna Better Health	not reported	169,021 (2016)	9.2% calculated	not reported
not reported	Blue Cross Blue Shield of Illinois	not reported	11,264 (2016)	9.3% calculated	not reported
not reported	Cigna-HealthSpring of Illinois	not reported	5,630 (2016)	4.7% calculated	not reported
not reported	Community Care Alliance of Illinois	not reported	9,019 (2016)	7.5% calculated	not reported
not reported	CountyCare	not reported	4,585 (2016)	3.8% calculated	not reported
not reported	Family Health Network	not reported	217,732 (2016)	11.8% calculated	not reported
not reported	Harmony Health Plan	not reported	167,151 (2016)	9.1% calculated	not reported
not reported	Health Alliance Connect	not reported	123,959 (2016)	6.7% calculated	not reported
not reported	Humana Health Plan	not reported	4,885 (2016)	4.0% calculated	not reported
not reported	IlliniCare Health Plan	not reported	171,090 (2016)	9.3% calculated	not reported
not reported	Illinois Health Connect	not reported	366,520 (2016)	100.0% calculated	not reported
not reported	Meridian Health Plan	not reported	19 (2016)	8.9% calculated	not reported
not reported	Molina Healthcare of Illinois	not reported	188,021 (2016)	10.2% calculated	not reported
not reported	NextLevel Health Partners	not reported	28,838 (2016)	1.6% calculated	not reported

CMS reported enrollment

CMS reporting years in this file run from 2016 through 2024. Retrieved 2026-11-01. The latest reporting year is 2024, which is behind the retrieval date. Enrollment figures are the CMS cell for that reporting year. Share is calculated from CMS reported total enrollment for that state, program, and year. Precapture does not combine rows. A year missing from a trend was not reported. A plan and region with more than one CMS row in a year has no trend and no year-over-year change. The dataset says a reported 0 may not truly represent 0 when a state suppressed a small count. CMS reported.

National market share

Family Health Plan/Affordable Care Act (Comprehensive MCO + MLTSS)

Family Health Plan/Affordable Care Act (Comprehensive MCO + MLTSS) 9

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	Aetna	CVS/Aetna	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 194,196
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 332,107
CountyCare	Cook County Health and Hospitals System	Cook County Health and Hospitals System	Cook County	not reported	not reported	not reported	not reported	2017: 135,493
Family Health Network	Family Health Network	Family Health Network	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 216,912
Harmony Health Plan	WellCare	Centene	Lake, Cook, DuPage, Kane, Will, Kankakee, Madison, St. Clair, Clinton, Washington, Randolph, Perry, Jackson and Williamson counties	not reported	not reported	not reported	not reported	2017: 141,966

show all 9

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
IlliniCare Health Plan	Centene Corporation	Centene	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will, Kankakee, Rock Island, Mercer and Henry counties	not reported	not reported	not reported	not reported	2017: 182,108
Meridian Health Plan	Meridian	Centene	Lake, Cook, DuPage, Kane, Will, Kankakee, Stark, Knox, Peoria, Tazewell, McLean, Madison, St. Clair, Clinton, Rock Island, Mercer, Henry, Winnebago, Boone, McHenry, Adams, Brown, DeKalb, Henderson, Lee, Livingston, Pike, Scott, Warren and Woodford counties	not reported	not reported	not reported	not reported	2017: 363,428
Molina Healthcare of Illinois	Molina Healthcare	Molina	Cook, Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2017: 153,444
NextLevel Health Partners	NextLevel Health Partners	NextLevel Health Partners	Cook County	not reported	not reported	not reported	not reported	2017: 50,586

Family Health Plan/Affordable Care Act (FHP/ACA) (Comprehensive MCO + MLTSS)

Family Health Plan/Affordable Care Act (FHP/ACA) (Comprehensive MCO + MLTSS) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	not reported	unmatched	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 169,021
Blue Cross Blue Shield of Illinois	not reported	unmatched	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 287,315
CountyCare	not reported	unmatched	Cook County	not reported	not reported	not reported	not reported	2016: 147,420
Family Health Network	not reported	unmatched	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 217,732
Harmony Health Plan	not reported	unmatched	Lake, Cook, DuPage, Kane, Will, Kankakee, Madison, St. Clair, Clinton, Washington, Randolph, Perry, Jackson and Williamson counties	not reported	not reported	not reported	not reported	2016: 167,151

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Health Alliance Connect	not reported	unmatched	Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Rock Island, Mercer, Henry, Winnebago, Boone and McHenry counties	not reported	not reported	not reported	not reported	2016: 123,959
IlliniCare Health Plan	not reported	unmatched	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will, Kankakee, Rock Island, Mercer and Henry counties	not reported	not reported	not reported	not reported	2016: 171,090
Meridian Health Plan	not reported	unmatched	Lake, Cook, DuPage, Kane, Will, Kankakee, Stark, Knox, Peoria, Tazewell, McLean, Madison, St. Clair, Clinton, Rock Island, Mercer, Henry, Winnebago, Boone, McHenry, Adams, Brown, DeKalb, Henderson, Lee, Livingston, Pike, Scott, Warren and Woodford counties	not reported	not reported	not reported	not reported	2016: 346,189
Molina Healthcare of Illinois	not reported	unmatched	Cook, Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2016: 188,021
NextLevel Health Partners	not reported	unmatched	Cook County	not reported	not reported	not reported	not reported	2016: 28,838

HealthChoice Illinois (Comprehensive MCO + MLTSS)

HealthChoice Illinois (Comprehensive MCO + MLTSS) 15

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	CVS Health Corporation	CVS/Aetna	Statewide	CMS reported 349,775 (2024)	13.8%	-73,989 (-17.5%)	-0.7 pts	2021: 399,437; 2022: 410,843; 2023: 423,764; 2024: 349,775
Blue Cross Blue Shield of Illinois	HealthCare Service Corporation	HealthCare Service Corporation	Statewide	not reported	not reported	not reported	not reported	2018: 414,925; 2019: 400,108; 2020: 525,565
Blue Cross Community Health Plans	HealthCare Service Corporation	HealthCare Service Corporation	Statewide	CMS reported 693,300 (2024)	27.5%	-75,166 (-9.8%)	+1.1 pts	2021: 624,759; 2022: 675,946; 2023: 768,466; 2024: 693,300
CountyCare Health Plan	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook County	CMS reported 415,301 (2024)	16.4%	-29,641 (-6.7%)	+1.2 pts	2022: 425,341; 2023: 444,942; 2024: 415,301
CountyCare Health Plan	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook county	not reported	not reported	not reported	not reported	2021: 396,701

show all 15

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
CountyCare	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook County	not reported	not reported	not reported	not reported	2018: 321,345; 2019: 316,688; 2020: 356,870
Harmony Health Plan	WellCare	Centene	Statewide	not reported	not reported	not reported	not reported	2018: 250,609
IlliniCare Health Plan	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2018: 317,402; 2019: 350,347; 2020: 371,043
Meridian Health Plan	WellCare Health Plans Inc	Centene	Statewide	not reported	not reported	not reported	not reported	2018: 572,164; 2019: 791,026; 2020: 831,747
Meridian Health	Centene Corporation	Centene	Statewide	CMS reported 734,754 (2024)	29.1%	-154,342 (-17.4%)	-1.4 pts	2021: 866,294; 2022: 859,356; 2023: 889,096; 2024: 734,754
Molina HealthCare	Molina HealthCare, Inc.	Molina	Statewide	not reported	not reported	not reported	not reported	2021: 308,735; 2022: 328,487
Molina Healthcare of Illinois	Molina Healthcare	Molina	Statewide	not reported	not reported	not reported	not reported	2018: 212,613; 2019: 216,913; 2020: 252,170
Molina Healthcare	Molina Healthcare, Inc.	Molina	Statewide	CMS reported 296,965 (2024)	11.8%	-54,152 (-15.4%)	-0.3 pts	2023: 351,117; 2024: 296,965
NextLevel Health Partners	NextLevel Health Partners	NextLevel Health Partners	Cook County	not reported	not reported	not reported	not reported	2018: 56,702; 2019: 47,529
YouthCare	Centene Corporation	Centene	Statewide	CMS reported 35,422 (2024)	1.4%	-583 (-1.6%)	+0.2 pts	2021: 20,148; 2022: 35,911; 2023: 36,005; 2024: 35,422

HealthChoice Illinois - Managed Long Term Services and Supports (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	CVS Health Corporation	CVS/Aetna	Statewide	CMS reported 12,915 (2024)	21.7%	-976 (-7.0%)	+0.4 pts	2023: 13,891; 2024: 12,915
Blue Cross Community Health Plans	HealthCare Service Corporation	HealthCare Service Corporation	Statewide	CMS reported 19,233 (2024)	32.3%	-1,789 (-8.5%)	+0.0 pts	2023: 21,022; 2024: 19,233
CountyCare Health Plan	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook County	CMS reported 9,446 (2024)	15.9%	-515 (-5.2%)	+0.6 pts	2023: 9,961; 2024: 9,446
Meridian Health	Centene Corporation	Centene	Statewide	CMS reported 12,051 (2024)	20.3%	-1,893 (-13.6%)	-1.2 pts	2023: 13,944; 2024: 12,051
Molina Healthcare	Molina Healthcare, Inc.	Molina	Statewide	CMS reported 5,808 (2024)	9.8%	-410 (-6.6%)	+0.2 pts	2023: 6,218; 2024: 5,808

HealthChoice Illinois - Managed Long Term Services and Supports (MLTSS only (PIHP and/or PAHP))

HealthChoice Illinois - Managed Long Term Services and Supports (MLTSS only (PIHP and/or PAHP)) 15

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	CVS Health Corporation	CVS/Aetna	Statewide	not reported	not reported	not reported	not reported	2021: 14,139
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2019: 15,399
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Statewide	not reported	not reported	not reported	not reported	2020: 18,049
Blue Cross Community Health Plans	HealthCare Services Corporation	HealthCare Services Corporation	Statewide	not reported	not reported	not reported	not reported	2021: 20,999
CountyCare Health Plan	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook county	not reported	not reported	not reported	not reported	2021: 8,026

show all 15

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
CountyCare	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook County	not reported	not reported	not reported	not reported	2019: 6,192; 2020: 6,574
IlliniCare Health Plan	Centene Corporation	Centene	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2019: 13,715
IlliniCare Health	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2020: 13,590
Meridian Health Plan	WellCare Health Plans, Inc.	Centene	Cook, DuPage, Kane and Will Counties	not reported	not reported	not reported	not reported	2019: 12,974
Meridian Health Plan	Wellcare Health Plans, Inc	Centene	Statewide	not reported	not reported	not reported	not reported	2020: 14,510
Meridian Health	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2021: 15,696
Molina HealthCare of Illinois	Molina HealthCare	Molina	Statewide	not reported	not reported	not reported	not reported	2020: 4,187
Molina HealthCare	Molina HealthCare Inc	Molina	Statewide	not reported	not reported	not reported	not reported	2021: 5,939
Molina Healthcare of Illinois	Molina Healthcare	Molina	Champaign, Christian, DeWitt, Ford, Knox, Logan, Macon, McLean, Menard, Peoria, Piatt, Sangamon, Stark, Tazewell and Vermilion Counties	not reported	not reported	not reported	not reported	2019: 3,451
NextLevel Health Partners	NextLevel Health Partners	NextLevel Health Partners	Cook County	not reported	not reported	not reported	not reported	2019: 719

HealthChoice Illinois - Managed Long-Term Services and Supports (MLTSS only (PIHP and/or PAHP))

HealthChoice Illinois - Managed Long-Term Services and Supports (MLTSS only (PIHP and/or PAHP)) 7

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2018: 9,878
CountyCare	Cook County Health and Hospitals System	Cook County Health and Hospitals System	Cook County	not reported	not reported	not reported	not reported	2018: 5,355
Harmony Health Plan	WellCare	Centene	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2018: 1,180
IlliniCare Health Plan	Centene Corporation	Centene	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2018: 7,012
Meridian Health Plan	WellCare	Centene	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2018: 6,849

show all 7

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Molina Healthcare of Illinois	Molina Healthcare	Molina	Cook, DuPage, Kane, Kankakee, Lake and Will Counties	not reported	not reported	not reported	not reported	2018: 579
NextLevel Health Partners	NextLevel Health Partners	NextLevel Health Partners	Cook County	not reported	not reported	not reported	not reported	2018: 290

HealthChoice Illinois – MLTSS (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Blue Cross Community Health Plans	HealthCare Service Corporation	HealthCare Service Corporation	Statewide	not reported	not reported	not reported	not reported	2022: 19,647
CountyCare Health Plan	Cook County Health and Hospital Systems	Cook County Health and Hospital Systems	Cook County	not reported	not reported	not reported	not reported	2022: 9,045
Meridian Health	Centene Corporation	Centene	Statewide	not reported	not reported	not reported	not reported	2022: 13,377
Molina HealthCare	Molina HealthCare, Inc.	Molina	Statewide	not reported	not reported	not reported	not reported	2022: 5,524

HealthChoice Illinois – Managed Long-Term Services and Supports (Comprehensive MCO + MLTSS)

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	CVS Health Corporation	CVS/Aetna	Statewide	not reported	not reported	not reported	not reported	2022: 13,044

Illinois Health Connect Primary Care Case Management (PCCM) (Primary Care Case Management (PCCM))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Illinois Health Connect	not reported	unmatched	Jo Daviess, Stephenson, Carroll, Ogle, DeKalb, Whiteside, Lee, Kendall, Grundy, LaSalle, Putnam, Bureau, Marshall, Livingston, Woodford, Iroquois, Warren, Henderson, Hancock, McDonough, Fulton, Schuyler, Mason, Cass, Brown, Adams, Pike, Scott, Morgan, Calhoun, Greene, Jersey, Macoupin, Montgomery, Bond, Fayette, Shelby, Moultrie, Douglas, Edgar, Coles, Clark, Cumberland, Crawford, Jasper, Effingham, Marion, Clay, Richland, Lawrence, Wabash, Edwards, Wayne, Jefferson, Washington, Monroe, Randolph, Perry, Franklin, Hamilton, White, Gallatin, Saline, Williamson, Jackson, Union, Johnson, Pope, Hardin, Alexander, Pulaski and Massac counties	not reported	not reported	not reported	not reported	2016: 366,520

Illinois Health Connect Primary Care Case Management (Primary Care Case Management (PCCM))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Illinois Health Connect	Illinois Health Connect	Illinois Health Connect	Jo Daviess, Stephenson, Carroll, Ogle, DeKalb, Whiteside, Lee, Kendall, Grundy, LaSalle, Putnam, Bureau, Marshall, Livingston, Woodford, Iroquois, Warren, Henderson, Hancock, McDonough, Fulton, Schuyler, Mason, Cass, Brown, Adams, Pike, Scott, Morgan, Calhoun, Greene, Jersey, Macoupin, Montgomery, Bond, Fayette, Shelby, Moultrie, Douglas, Edgar, Coles, Clark, Cumberland, Crawford, Jasper, Effingham, Marion, Clay, Richland, Lawrence, Wabash, Edwards, Wayne, Jefferson, Washington, Monroe, Randolph, Perry, Franklin, Hamilton, White, Gallatin, Saline, Williamson, Jackson, Union, Johnson, Pope, Hardin, Alexander, Pulaski and Massac counties	not reported	not reported	not reported	not reported	2017: 320,335

Integrated Care Program (Comprehensive MCO + MLTSS)

Integrated Care Program (Comprehensive MCO + MLTSS) 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	Aetna	CVS/Aetna	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 28,449
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 14,970
Cigna-HealthSpring	Cigna	Cigna	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 4,565
Community Care Alliance of Illinois	Family Health Network	Family Health Network	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 7,745
CountyCare	Cook County Health and Hospitals System	Cook County Health and Hospitals System	Cook County	not reported	not reported	not reported	not reported	2017: 5,486

show all 10

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Humana Health Plan	Humana	Humana	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2017: 5,112
IlliniCare Health Plan	Centene Corporation	Centene	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will, Kankakee, Rock Island, Mercer and Henry counties	not reported	not reported	not reported	not reported	2017: 24,815
Meridian Health Plan	Meridian	Centene	Lake, Cook, DuPage, Kane, Will, Kankakee, Knox, Stark, Peoria, Tazewell, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2017: 13,701
Molina Healthcare of Illinois	Molina Healthcare	Molina	Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2017: 5,123
NextLevel Health Partners	NextLevel Health Partners	NextLevel Health Partners	Cook County	not reported	not reported	not reported	not reported	2017: 4,173

Integrated Care Program (ICP) (Comprehensive MCO + MLTSS)

Integrated Care Program (ICP) (Comprehensive MCO + MLTSS) 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	not reported	unmatched	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 28,871
Blue Cross Blue Shield of Illinois	not reported	unmatched	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 11,264
Cigna-HealthSpring of Illinois	not reported	unmatched	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 5,630
Community Care Alliance of Illinois	not reported	unmatched	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 9,019
CountyCare	not reported	unmatched	Cook County	not reported	not reported	not reported	not reported	2016: 4,585

show all 11

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Health Alliance Connect	not reported	unmatched	Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Rock Island, Mercer and Henry counties	not reported	not reported	not reported	not reported	2016: 7,920
Humana Health Plan	not reported	unmatched	Lake, Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 4,885
IlliniCare Health Plan	not reported	unmatched	Winnebago, Boone, McHenry, Lake, Cook, DuPage, Kane, Will, Kankakee, Rock Island, Mercer and Henry counties	not reported	not reported	not reported	not reported	2016: 27,099
Meridian Health Plan	not reported	unmatched	Lake, Cook, DuPage, Kane, Will, Kankakee, Knox, Stark, Peoria, Tazewell, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2016: 11,557
Molina Healthcare of Illinois	not reported	unmatched	Knox, Stark, Peoria, Tazewell, McLean, Ford, Vermilion, Champaign, Piatt, DeWitt, Macon, Logan, Christian, Sangamon, Menard, Madison, St. Clair and Clinton counties	not reported	not reported	not reported	not reported	2016: 5,872
NextLevel Health Partners	not reported	unmatched	Cook County	not reported	not reported	not reported	not reported	2016: 4,115

Managed Long Term Services and Supports (MLTSS only (PIHP and/or PAHP))

Plan	CMS parent	Parent	Region	2024 enrollment	2024 share	Change from prior reporting year, calculated	Share change, calculated	Trend
Aetna Better Health	Aetna	CVS/Aetna	Cook, DuPage, Kane, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 49; 2017: 7,348
Blue Cross Blue Shield of Illinois	Health Care Service Corporation	Health Care Service Corporation	Lake, Kane, DuPage, Cook, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 100; 2017: 9,610
IlliniCare Health Plan	Centene Corporation	Centene	Lake, Kane, DuPage, Cook, Will and Kankakee counties	not reported	not reported	not reported	not reported	2016: 46; 2017: 5,563
Meridian Health Plan	Meridian	Centene	Cook, DuPage, Kane and Will counties	not reported	not reported	not reported	not reported	2016: 19; 2017: 5,702

Plan operations (CMS MCPAR)

Counts, rates, dates, and status are the CMS MCPAR cells for that plan, program, and reporting year. The appeal rate is calculated from CMS reported appeals resolved in favor of the enrollee divided by CMS reported appeals resolved. It is not a CMS-published rate. A plan links when the name matches one enrollment plan in that same state and program. Unmatched is shown and is not guessed. A sanction amount is not on this page. Retrieved 2026-11-02. CMS MCPAR.

National plan operations · Federal compliance deadlines

Appeals, grievances, and enrollment share (2024)

Appeals, grievances, and enrollment share (2024) 6

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
Aetna Better Health	CVS/Aetna	HealthChoice Illinois (HCI) 06/26/2025	3,155	449	14.2% calculated	1,368	10.7%	13.9%
Blue Cross Community Health Plans	HealthCare Service Corporation	HealthChoice Illinois (HCI) 06/26/2025	4,590	1,977	43.1% calculated	18,227	21%	27.2%
CountyCare Health Plan	Cook County Health and Hospital Systems	HealthChoice Illinois (HCI) 06/26/2025	2,933	1,632	55.6% calculated	3,613	12.3%	16%
Meridian Health	Centene	HealthChoice Illinois (HCI) 06/26/2025	7,108	3,211	45.2% calculated	1,281	22.1%	28.7%
Molina HealthCare	Molina	HealthChoice Illinois (HCI) 06/26/2025	1,221	500	41.0% calculated	5,828	8.9%	11.6%

show all 6

Plan	Parent	Program	Appeals resolved	In favor of enrollee	Appeal rate	Grievances resolved	Medicaid enrollment share	Managed care enrollment share
YouthCare	Centene	HealthChoice Illinois (HCI) 06/26/2025	303	186	61.4% calculated	167	1%	1.3%

Sanctions (2024)

Sanctions (2024) 21

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Aetna Better Health	CVS/Aetna	Reporting	2024-01-22	No	No, no remediation
Aetna Better Health	CVS/Aetna	Reporting	2024-08-08	No	No, no remediation
Aetna Better Health	CVS/Aetna	Reporting	2024-08-09	No	No, no remediation
Aetna Better Health	CVS/Aetna	Reporting	2024-11-15	No	No, no remediation
Aetna Better Health	CVS/Aetna	Reporting	2024-04-30	No	No, no remediation

show all 21

Plan	Parent	Topic	Date	Corrective action plan	Remediation status
Blue Cross Community Health Plans	HealthCare Service Corporation	Reporting	2024-08-06	No	No, no remediation
Blue Cross Community Health Plans	HealthCare Service Corporation	Reporting	2024-08-27	No	No, no remediation
Blue Cross Community Health Plans	HealthCare Service Corporation	Reporting	2024-09-09	No	No, no remediation
Blue Cross Community Health Plans	HealthCare Service Corporation	Reporting	2024-11-19	No	No, no remediation
Blue Cross Community Health Plans	HealthCare Service Corporation	Reporting	2024-11-20	No	No, no remediation
CountyCare Health Plan	Cook County Health and Hospital Systems	Reporting	2024-11-06	No	No, no remediation
CountyCare Health Plan	Cook County Health and Hospital Systems	Reporting	2024-01-12	No	No, no remediation
CountyCare Health Plan	Cook County Health and Hospital Systems	Reporting	2024-01-12	No	No, no remediation
Meridian Health	Centene	Reporting	2024-11-06	No	No, no remediation
Meridian Health	Centene	Reporting	2024-04-10	No	No, no remediation
Meridian Health	Centene	Reporting	2024-06-24	No	No, no remediation
Molina HealthCare	Molina	Reporting	2024-08-06	No	No, no remediation
Molina HealthCare	Molina	Reporting	2024-08-09	No	No, no remediation
Molina HealthCare	Molina	Reporting	2024-08-06	No	No, no remediation
YouthCare	Centene	Reporting	2024-06-24	No	No, no remediation
YouthCare	Centene	Reporting	2024-11-20	No	No, no remediation

Award history

HealthChoice Illinois: not published by state.

Retrieved 2026-11-03. Sources and scores

Early procurement signals

forecast HFS anticipates managed care contract opportunities: suggested. 2026-12-31. The HFS procurement page says the current HealthChoice Illinois (HCI) contracts expire on December 31, 2026. It says HFS anticipates managed care contract opportunities, and it says until HFS begins the active RFP design and procurement phase. Anticipation is not an issued RFP. December 31, 2026 is the page's contract expiration, not a proposal deadline. The page does not name a plan. Illinois. No plan is named on the record. A solicitation or early procurement signal is on the record. Stated contract end Dec 31, 2026.

Coverage: not_collected. Source receipts: 1 changed at 2026-11-15T10:57:20+00:00. Sources and dates

Contract amendments

No official Medicaid managed-care contract amendment has been retrieved for this state. This is not a finding that no amendment exists. Contract amendments

Source receipts: 1 changed at 2026-11-15T10:57:20+00:00.

Medicaid policy

Indiana rows are official policy instruments. Other states show only Federal Register notices of hearings on SPA disapprovals, which are a narrow slice and not waiver or SPA coverage.

Federal Register notices of hearings on SPA disapprovals are read from the Federal Register JSON API. That covers no approved SPAs, waivers, or section 1115 demonstrations.

Coverage not_collected.

No official Medicaid managed-care policy instrument has been retrieved for this state. This is not a finding that no waiver, state plan amendment, or rule exists. Medicaid policy

Federal Register SPA disapproval hearing notices (2015 or later): 0

Plan financials

No official Medicaid plan financial filing has been retrieved for this state. This is not a finding that no filing exists, and it is not a zero. Plan financials. Coverage: not_collected.

Federal compliance deadlines

Cited federal Medicaid managed care deadlines, with the Federal Register citation, the effective date, the compliance date, and the plan obligation.

Subscriber analysis

Subscriber analysis is available to signed-in readers. This public page keeps the evidence and leaves out the interpretation.