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Illinois Department of Human ServicesJB Pritzker, Governor · Grace B. Hou, Secretary
Illinois is in the process of modernizing its 30-year-old Medicaid Management Information System system. This step was taken to meet federal requirements in the Affordable Care Act. The old system will be replaced with a new web-based provider enrollment system known as IMPACT.
To access the most recent and up-to-date information concerning IMPACT, please see the Healthcare and Family Services (HFS) web site .
If the IMPACT team cannot directly address your question, the project team will coordinate with staff from Department of Healthcare and Family Services, Department on Aging, Department of Children and Family Services, Department of Human Services and the UIC DSCC to ensure you receive the information you need.
Phone: 1-877-782-5565 (select option #1)
This is the enrollment type for business entities that are enrolling with a National Provider Identifier. The Facility, Agency, Organization enrollment type must be used for Developmental Training and all residential providers, including CILA, Child Group Home and Community Living Facilities. Some other service types may also use this enrollment type if they are choosing to enroll with a National Provider Identifier.
FAO PowerPoint Presentation (ppt)
The Group Practice enrollment type is for business entities that will be providing nursing, behavior therapy, counseling/psychotherapy, physical therapy, speech therapy and occupational therapy. Business entities do not need to enroll as a Group Practice if the business is already enrolled in IMPACT as an FAO or Atypical Agency.
Groups PowerPoint Presentation (ppt)
Rendering/Servicing Only providers are individuals that are working for or contracting with another individual or business entity.
Rendering/Service Provider PowerPoint Presentation
Individuals that are receiving payment directly from the state of Illinois for Medicaid services are required to enroll as an Individual Sole Provider.This includes individuals that are providing a combination of services by working independently and contracting with another individual or business entity.
Individual Sole Provider PowerPoint Presentation (ppt)
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