Heatlh Choice Illinois (HCI)- County Care

CountyCare Health Plan (Cook County Health and Hospitals System) has been awarded a managed care services contract by the State of Illinois Department of Healthcare and Family Services (HFS) for the Health Choice Illinois program under Invitation for Bid 26-478HFS-MEDPR-B-49167. The contract, effective July 15, 2026, carries a total contract value of $9,999,999,999.00 and extends through December 31, 2030. CountyCare was selected as one of six managed care organizations to provide healthcare coverage under Option B of this competitively solicited procurement, joining five other health plans selected under Option A (Aetna Better Health of Illinois, Inc.; Healthcare Service Corporation operating as Blue Cross and Blue Shield of Illinois; Humana Benefit Plan of Illinois, Inc.; Meridian Health Plan of Illinois, Inc.; and Molina Healthcare of Illinois).

The contract deliverable consists of Health Choice Illinois managed care services structured on a per-member per-month risk-based capitation model in accordance with 42 Code of Federal Regulations Part 438, eliminating traditional line-item pricing methodologies. CountyCare's service scope encompasses managed care plan administration and healthcare delivery coordination for eligible Health Choice Illinois program participants, with payment rates determined by the Department's actuarial firm based on approved capitation rates and actual member enrollment. The contract includes a Business Enterprise Program utilization commitment of 1 percent participation through six certified minority, women-owned, and disadvantaged business enterprise vendors identified in CountyCare's utilization plan, demonstrating compliance with Illinois procurement requirements for diverse business engagement.