HealthChoice Illinois (HCI)- Humana

The State of Illinois Department of Healthcare and Family Services awarded a managed care services contract to Humana Benefit Plan of Illinois, Inc. through an open market competitive sealed proposal process (Procurement Bulletin 26-478HFS-MEDPR-B-49167). The contract pertains to the Health Choice Illinois (HCI) program, which provides managed care services under a capitated rate structure governed by 42 Code of Federal Regulations Part 438. The contract period extends from the award date of July 15, 2026, through December 31, 2030, with an initial term valued at approximately $10 billion as reflected in the contract amount line item.

Humana Benefit Plan of Illinois, Inc. will deliver comprehensive managed care health insurance services on a per member per month capitated rate basis, with actual vendor payments determined by approved capitated rates and actual member enrollment numbers. The contract is one of six awards issued to managed care organizations and health plans selected to serve Illinois Medicaid beneficiaries. Humana's utilization plan commits to 1.01% participation with Certified Business Enterprise vendors across 11 subcontractors providing ancillary services including transportation, staffing, pharmacy services, and language services in support of managed care operations. The contract includes requirements for monthly utilization reporting and three-year compliance record maintenance.