HealthChoice Illinois (HCI)-HCSC

Health Care Service Corporation has been awarded a managed healthcare services contract by the State of Illinois Department of Healthcare and Family Services for the Health Choice Illinois program. This Open Market Competitive Sealed Proposal (Contract Number 26-478HFS-MEDPR-P-99058) is valued at $9,999,999,999.00 and represents a portion of the larger Health Choice Illinois initiative, which encompasses multiple managed care organization awardees. The contract period extends from the award date of July 15, 2026, through December 31, 2030. Health Care Service Corporation, operating as Blue Cross and Blue Shield of Illinois, was selected as one of six managed care organizations to provide risk-based capitation-based managed healthcare services under a structure compliant with 42 Code of Federal Regulations Part 438.

The services to be delivered include comprehensive managed care administration for Health Choice Illinois enrollees, with pricing structured as per member per month capitation payments as determined by the Department's actuarial analysis. The contract requires Health Care Service Corporation to maintain a Business Enterprise Program utilization goal of 1 percent through subcontracting with certified minority-owned enterprises, women-owned enterprises, and other disadvantaged business entities. Performance will occur throughout the State of Illinois, with the contract encompassing an initial term through December 31, 2030, and structured to support the state's Medicaid managed care program objectives. The actual contract value will be subject to final determination based on approved capitation rates and enrolled member populations.