Provider Information

IHC Referral Video

To continue the ongoing efforts to "connect" Illinois Health Connect (IHC) patients with their medical home and support continuity of care, IHC is implementing Phase I of the Illinois Health Connect Referral System. Implementation will be completed in stages by geographic region, according to the following schedule:

Northwest Region:	October 1, 2009
Collar Counties:	December 1, 2009
Cook County:	February 1, 2010
Central/Southern Regions:	April 1, 2010

Phase I requires IHC patients to see their own IHC PCP, or a provider or clinic affiliated with their PCP. PCPs seeing IHC patients who are NOT enrolled on their panel or on an affiliated PCP's panel on the date of service, must obtain a referral from the patient's PCP in order to be reimbursed by HFS for services provided. PCPs will be able to submit referrals for their IHC patients to see other IHC PCPs through the IHC Provider Portal via the secure HFS MEDI system and directly with IHC via fax or by calling IHC. Specialists will not require a referral in Phase I. IHC PCPs will be able to post-date a referral up to 60 days from the date of service.

Watch a seven minute video about the IHC Phase I Referral policies and procedures for entering and verifying referrals.

Watch Referral Video

IHC Informational Video

Watch a brief informational video about Illinois Health Connect and the resources Illinois Health Connect can provide to your practice.

Watch Informational Video

Important Notices

Date	Topic
08/10/2010	Improving Care for Children
07/27/2010	2009 IHC Bonus Payment Summary
07/20/2010	Adult Immunizations
06/11/2010	Smoking Cessation
05/20/2010	IHC PCP Changes Via the Web/Phone – In PCP Office
05/14/2010	Referrals and Billing IHC Patients
05/07/2010	Provider Initiated Request to Add an Affiliation (Differing Group)
05/07/2010	Provider Initiated Request to Add an Affiliation (Single Group)
04/23/2010	Client Enrollment Policy
04/14/2010	HFS Asthma Billing Guidelines and Education
03/30/2010	2010 PCP Survey
03/09/2010	PCP Verification and Excluded Populations
2/10/2010	I-CARE and Immunization Data
11/02/2009	Initiated Request for Client Reassignment Form
10/02/2009	MEDI Outage 10-1-09
10/01/2009	Provider Referral Fax Form
10/01/2009	School-based Clinics Referral and Direct Access Billing Requirements
10/01/2009	RHC & ERC’s Referral and Direct Access Billing Requirements
10/01/2009	FQHC Referral and Direct Access Billing Requirements
10/01/2009	Physician, APN, & Hospital Referral and Direct Access Billing Requirements
9/16/2009	2009 IHC Provider Satisfaction Survey Results
8/26/2009	Billing Co-Payments Q&A
8/3/2009	Informational Facsimile of the IHC Referral System
8/3/2009	IHC Referral System Implementation
7/31/2009	2008 Bonus Program Summary
2/24/2009	Increased Rates for E/M Visits
2/2/2009	Increases to Reimbursement for Physician Services
1/22/2009	An Update on Claims Payment
12/01/2008	Assisting Medical Homes with Quality Assurance-CME
10/14/2008	Going Green Announcement
08/01/2008	2008 IHC Provider Satisfaction Survey Results
05/20/2008	New Electronic Tools
05/20/2008	Free Clinical CME
05/13/2008	NPI FAQ
03/14/2008	IHC Drug Search Engine
06/01/2007	Review Your IHC Enrollment
05/31/2007	Illinois MEDI System for Providers

Illinois Health Connect is Illinois’ new Primary Care Case Management (PCCM) program. In Illinois Health Connect, most people with an HFS or All Kids medical card will have a medical home through a Primary Care Provider (PCP).

Through the services of Automated Health Systems (AHS), eligible participants (predominantly parents and children, All Kids members and adults with disabilities) will choose a PCP who will manage their care, provide immunizations and other primary and preventive health care services and help avoid unnecessary emergency room visits and hospitalizations. PCPs will make referrals for additional care when needed.

Here is some General Program Information for Providers regarding Illinois Health Connect.

You can also download the Illinois Health Connect Primary Care Provider Handbook.

Here is some information concerning provider enrollment and panel sizes by county.

How do I enroll as an Illinois Health Connect PCP?

It's easy. Physicians, Clinics, and Health Centers who wish to enroll in Illinois Health Connect as a Primary Care Provider can simply call the Illinois Health Connect Provider Services Helpdesk at 1-877-912-1999 (TTY: 1-866-565-8577). The call is free. The hours of operation for the Provider Services Helpdesk are Monday – Friday 8:00a.m. to 7:00p.m. We can send an application to you and/or have one of our Provider Service Representatives schedule a convenient time to meet with you, answer all of your questions and help you enroll.

Providers who do not enroll in Illinois Health Connect will no longer be able to provide primary care to their patients who are enrolled in Illinois Health Connect. Here is a list of provider types that can be PCPs in the mandatory program.

Providers can also enroll online as an Illinois Health Connect PCP.

MEDI Training Materials

MEDI Access and Registration