Access to Care
The Illinois Department of Healthcare and Family Services (HFS) is responsible for providing healthcare coverage for adults and children who qualify for Medicaid. HFS was formerly the Illinois Department of Public Aid.
Medicaid is a joint program, funded primarily by the federal government and run at the state level, to provide comprehensive health-care coverage to 3.3 million low income Illinoisans. The program covers children, parents/relatives caring for children, pregnant women, veterans, seniors, eligible individuals and persons with disabilities.
Illinois Medicaid includes dental benefits for adults and children. DentaQuest of Illinois has been the dental administrator for the HFS fee for service dental program since 1999. Dentists interested in providing care to this population are required to enroll in Illinois Medicaid Program Advanced Cloud Technology (IMPACT) prior to submitting claims in order to receive reimbursement. Updated fee schedules for the HFS fee for service dental program can be found here.
By the end of 2018, 80% of the Illinois Medicaid population will be enrolled into a managed care organization (MCO). Each MCO contracts with a different dental administrator to handle dental claims.
Statewide plans/MCOs and their dental administrators:
- Blue Cross Blue Shield of Illinois: DentaQuest
- Harmony Health Plan: LIBERTY Dental Plan
- IlliniCare Health: PlanEnvolve
- Meridian Health: DentaQuest
- Molina Healthcare of Illinois: Avesis
Available only in Cook County
- CountyCare: DentaQuest
- NextLevel Health: LIBERTY Dental Plan
To learn more, members may view the ISDS webinar entitled “Illinois Medicaid 101.”
ISDS encourages members to consider participating in one of these important programs that enhance the public’s access to dental care in Illinois.