Central Management Services (CMS)

The State of Illinois' Quality Care Health Plan is a self-insured plan with funding provided through legislative appropriations, State revenue and a small amount of employee premiums. Funding availability is based on State revenue, which fluctuates from month to month. At this time funds remain insufficient to pay claims on a normal schedule, and we cannot estimate when a regular payment schedule will resume. Claim payments will be released according to the claim process date and available funding. CIGNA, the claims administrator, continues to process claims in a timely manner, but release of claims must be held until revenue is available. Late payment interest is paid to healthcare providers on health claims that take longer that 30 days from the receipt of a complete claim submission to pay. If you decide to make arrangements with your out-of-network provider to pay the outstanding balance or establish a payment plan, your provider should reimburse you after they receive payment from CIGNA. It is your responsibility to make reimbursement arrangements with your provider.

FY 2012 Benefit Choice Period
For updated information regarding the managed care contracts and the date by which members must make a decision regarding their coverage choices for FY 2012 go to the CMS Benefits website.

Changes in Managed Health Care Plans
Open Enrollment period is May 1 through May 31, and materials will be available at www.benfitschoice.il.gov beginning May 1. Members who fail to make an election will be automatically defaulted to the Quality Care Health Plan effective July 1, 2011.
BlueCross BlueShield Plans offered: BCBS HMO Illinois and BCBS Blue Advantage
To find out if your Primary Care Provider (PCP) is in the network, click here.
Open Access Plan offered: HealthLink OAP and PersonalCare OAP
To find out if your PCP is in the network, click here for HealthLink or here for PersonalCare.
Quality Care Health Plan will continue to be provided by the State.
Effective July 1, 2011
Click Here

Quality Care Health Plan (QCHP) Changes
Effective March 1, 2011
Click Here

Retain Maintenance Pharmacy Network Changes
Significant changes effective 9/20/2010
Click Here

Payment Delays in the Quality Care Health and Dental Plans
Payment Delays in the Quality Care Health and Dental Plans
Explanation - Click Here
*Please note the dates listed are when CMS released the vouchers to the Comptroller's Office. This is not the date of payment to your healthcare providers.*

College Insurance Program (CIP)
Benefit Plans
Frequently Asked Questions
Benefits Handbook
Managed Care Plans in Illinois Counties Map
FY11 Dental Schedule of Benefits

Comptroller's Office
Health Insurance Reserve Fund Details
*Click on "Get Fund Balance" to see the current standings*