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Office of Medicaid Innovation

Our Mission

Established in 2012 via Intergovernmental Agreement with the Illinois Department of Healthcare and Family Services (HFS), OMI is a specialty unit within the University of Illinois System that seeks to provide administrative, clinical, and operational services to HFS in support of its administration of Illinois’ Medicaid Program.

OMI Funding

Through strategic partnership with HFS, OMI receives an estimated $30M per year in payments for administrative services provided by the university in support of the Illinois Medicaid program. OMI distributes most of these funds to its various partnering units from UIC and UIUC, with the majority of distributed funding covering the costs of university staff with clinical knowledge or experience directly supporting HFS’ Medical Programs.

Quarterly, OMI completes and remits a Medicaid Certified Public Expenditure (CPE) to HFS for all qualifying costs, allowing HFS to seek Medicaid Federal Financial Participation (FFP) at a rate of 50% or greater, returning most of the cost of university services to the State. OMI estimates that state taxpayers are responsible for less than 40% of all OMI funded services, following Illinois’ receipt of federal Medicaid matching funds.

OMI Partnering Units

UIC College of Pharmacy

  • Pharmaceutical Prior Authorization
  • Pharmaceutical Quality Reviews
  • Pharmaceutical Academic Detailing
  • Illinois DocAssist

UIC College of Nursing

  • Children’s Mental Health Residential Supports
  • Community Transitions Initiative (CTI)

UIC College of Applied Health Sciences

  • Adaptive Behavioral Support (ABS) Services Prior Authorization

UIUC School of Social Work

  • Provider Assistance & Training Hub (PATH)
  • Behavioral Health Transformation 1115 Demonstration Waiver Evaluation
  • Continuity of Care 1115 Demonstration Waiver Evaluation

UI Health Institute for Healthcare Delivery Design (IHDD)

UIC Division of Specialized Care for Children (DSCC)

  • Specialized Behavioural Health Care Coordination