Here are three notes on the suspension.
1. The Illinois Department of Healthcare and Family Services ceased BCBSIL’s managed Medicaid enrollment April 11 due to noncompliance. The department also sanctioned the insurer $150,000 for having too narrow of provider networks and failing to keep up with members’ grievances and appeals, Crain’s reports.
2. BCBSIL spokesperson Colleen Miller told Crain’s, “Our priority is to provide the highest levels of service to our members, providers and the Illinois Department of Health & Family Services.” She said the payer “is committed to making the necessary investments and improvements in technology, process, staffing and training to provide long-term solutions to meet the needs of all our [Medicaid] members.”
3. Republican Illinois Gov. Bruce Rauner’s administration rolled out a managed care Medicaid program in the state Jan. 1, 2018, called HealthChoice Illinois.
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