Many of you have been calling our offices regarding the changes to Illinois Medicaid. We wanted to share with you what we know and what you can do to keep Dr. Joanna Betancourt or Dr. Sandra Graba as your primary care providers.
The State of IL is requiring that all Medicaid insured people in Cook County and nearby counties enroll in one of the "managed" or "coordinated" care Medicaid plans.
If your child is enrolled in Medicaid, you should have receive a letter from the Illinois Department of Healthcare and Family Services (HFS) which included a list of all the plans and instructions on what to do to enroll.
Which Medicaid plans will Dr. Betancourt and Dr. Graba participate in?
In order to answer this questions while remaining compliant with the HFS Manage Care Rollout guidelines, our office mailed a letter to our Medicaid patients stating which Medicaid plans Salud providers will accept.
When will Dr. Betancourt and Dr. Sandra accept the new insurance?
We began the enrollment process with the plans a few weeks back, however, the process takes several weeks. Our plan representatives are doing everything they can to make sure providers will be in-network by Nov1st.
What happens if you enroll in one of the plans the practice accepts, but Dr. Betancourt or Dr Graba are not enrolled by Nov 1st?
If Dr. Betancourt or Dr. Graba do not appear as in-network providers on Nov 1st, check back frequently. It may take a few days before the database gets updated.
Keep in mind that within a plan, you are able to change providers once a month.
What can I do if I was automatically enrolled in a plan that Salud Pediatrics doesn't belong to?
You have 90 days from the time that you enrolled or were automatically enrolled to change your plan. If you do not change plans within the first 90 days, you will have the opportunity to change plans again one year later.
If you have any questions and/or are ready to enroll, you can call Illinois HFS Client Enrollment Services at 877.912.8880.