Managed Long Term Services & Support Frequently Asked Questions

The Managed Long Term Service and Supports program is one of Illinois' mandatory managed care programs. This program is for seniors and persons with disabilities who have full Medicaid and Medicare benefits and opt-out of the Medicare-Medicaid Alignment Initiative.

The Managed Long Term Services and Supports program started in Illinois in 2016. It operates in the Greater Chicago Region. Click here to see the counties with Managed Long Term Services and Supports health plans.

In the Managed Long Term Services and Supports program, you choose a health plan that is best for your long term services and supports, behavioral health, and non-emergency transportation services. The health plan will help you receive quality health care and services and help you reach your health goals.

All Managed Long Term Services and Supports health plans have care coordinators to help you manage all of your health care and long term services and supports needs. The Managed Long Term Services and Supports health plan will cover the waiver services you get at home, such as a personal assistant, homemaker, adult day care, or a home emergency response system.

You have to enroll in the Managed Long Term Services and Supports program if you are:

Getting full Medicaid and Medicare benefits (Medicare Parts A and B and Medicaid without a spenddown),
Not enrolled in the Medicare-Medicaid Alignment Initiative*,
Living in a nursing home or getting services from one of these five Home and Community Based Services (HBCS) Waiver programs:
Persons with Disabilities (Home Services Program),
Persons with Brain Injury (Home Services Program),
Persons with HIV or AIDS (Home Services Program),
Persons who are Elderly (Community Care Program), or
Supportive Living Facilities,
Age 21 or older,
Enrolled in the Medicaid Aid to the Aged Blind and Disabled (AABD) category of assistance, and
Living in a one of the counties where the Managed Long Term Services and Supports program exists. Click here to see if you live in a county with a Managed Long Term Services and Supports health plan.

*You can choose to enroll in the Medicare-Medicaid Alignment program instead of the Managed Long Term Services and Supports program.

You cannot enroll in the Managed Long Term Services and Supports program if you are:

Age 20 or younger,
Getting developmental disability institutional services,
Enrolled in the Adults with Developmental Disabilities HCBS Waiver,
In a Spenddown Program,
Getting temporary medical benefits,
Getting care in the Illinois Breast and Cervical Cancer Program, or
Getting private insurance through your employer that pays for hospital and doctor visits.

All members of the Managed Long Term Services and Supports program get the same important health services you get now. Some examples include:

Nursing Home Care
Supportive Living
Mental Health Services
Substance Abuse Services
Adult Day Services
Home Health Care
Personal Assistant Services
Emergency Home Response
Non-Emergency Transportation to Medicare and Medicaid covered Services

You will receive education and help with all your services through care coordination. You may also get extra services from your Managed Long Term Services and Supports health plan. Click here to compare the extra services by health plan.

You will keep getting all of your Medicare benefits the way you do now. You will stay in the Medicare prescription drug plan you are in now.

To choose the best health plan for you, you should think about your answers to these questions:

Are my long term services and supports providers in the health plan’s network?
Are my mental health or substance use providers in the health plan’s network?
What extra services does the health plan have?

You can also visit the website for Illinois’ Client Enrollment Services. Go to: www.enrollhfs.illinois.gov to compare health plans.

You can enroll in the Managed Long Term Services and Supports program at any time. You also can choose to enroll in the Medicare-Medicaid Alignment Initiative instead of the Medicaid Managed Long Term Services and Supports program at any time. The Medicare-Medicaid Alignment Initiative brings together all of your Medicare, Medicaid and prescription drug benefits into one health plan.

To enroll in the Managed Long Term Services and Supports Program or the Medicare Medicaid Alignment Initiative, call Illinois Client Enrollment Services at 1-877-912-8880 (TTY 1-866-565-8576). Call Monday to Friday, 8 a.m. to 7 p.m. The call is free!

Once you enroll in a Managed Long Term Services and Supports Program health plan, you will get a health plan member handbook and a member ID card. Look for them in the mail. You will work with your health plan care coordinator to get the health care services you need. To learn more, call your health plan member services number.