---
title: "Illinois Medicaid Long-Term Care | Funding LTC Marketplace"
url: https://fundingltcmarketplace.com/states/illinois/medicaid-long-term-care/
description: "How Illinois Medicaid long-term services work through HealthChoice Illinois, fee-for-service nursing-facility payments, and coordinated care."
last_updated: 2026-10-20
author: George A. Mellendorf, CLTC, LTCP (Central States Insurance Services, Inc.)
publisher: Funding LTC Marketplace
note: Educational content; not legal, tax or financial advice. Markdown copy of the HTML page at the URL above.
---
Illinois · Medicaid Program

# Illinois Medicaid Long-Term Care

Last updated 2026-10-20

**Quick answer:** Illinois HFS delivers Medicaid long-term care mainly through fee-for-service nursing facility payments and managed care. Its care-coordination programs are HealthChoice Illinois, YouthCare and the Medicare-Medicaid Alignment Initiative (MMAI).

The Illinois Department of Healthcare and Family Services (HFS) administers Medical Assistance statewide, and it delivers long-term services and supports mainly through fee-for-service nursing-facility payments alongside managed care.

HFS names three distinct care-coordination programs: HealthChoice Illinois, YouthCare, and the Medicare-Medicaid Alignment Initiative (MMAI). It's worth being precise here — MMAI is its own separate demonstration program for dual-eligible individuals, not simply a subset of HealthChoice Illinois.

## Sources and official resources

- [Illinois HFS: Long Term Care](https://hfs.illinois.gov/medicalclients/ltc.html)
- [CMS: 2026 SSI and Spousal Impoverishment Standards](https://www.medicaid.gov/federal-policy-guidance/downloads/cib04272026.pdf)

Rules and figures change. Confirm current details with the agency before you act.

[← Back to the full Illinois guide](https://fundingltcmarketplace.com/states/illinois/)