What is the Illinois Medicaid provider line?
Asked by: Matilda Gorczany | Last update: April 11, 2025Score: 4.4/5 (73 votes)
What is your Medicaid provider number?
A Medicare/Medicaid Provider Number (MPN) verifies that a provider has been Medicare certified and establishes the type of care the provider can perform. This identifier is a six-digit number.
How do I verify my Medicaid provider in Illinois?
1-800-842-1461. You will be asked to enter your Medicaid provider identification number. The identification number for providers is the nine-digit Federal Taxpayer Identification Number (FEIN or SSN) followed by a three-digit extension.
Who provides Medicaid in Illinois?
The Illinois Department of Health Care and Family Services administers Medicaid, which is a federal-state program that provides health insurance coverage to 3.3 million residents – one in four Illinoisans – who meet certain eligibility standards.
What are the four types of Medicaid in Illinois?
Illinois Healthcare and Family Services (HFS) currently has four types of statewide managed care programs: HealthChoice Illinois Mandatory Managed Care Plans (MCP) cover children, pregnant women, FamilyCare, Affordable Care Act (ACA) Adults and Aid to the Aged, Blind or Disabled (AABD) Adults.
Is Illinois Medicaid Right for You? Discover Eligibility & Benefits
How do I change my Medicaid provider in Illinois?
An individual must call the Client Enrollment Broker Call Center at 1-877-912-8880 (TTY: 1-866-565-8576) or go online to the Enrollment Portal at www.enrollhfs.illinois.gov to get more information about their HealthChoice Illinois plan choices and to make a plan switch.
What is the provider line for Illinois Medicaid?
Provider Help Line: 1-800-804-3833.
Is Blue Cross Blue Shield of Illinois Medicaid?
Blue Cross and Blue Shield of Illinois (BCBSIL), a Division of Health Care Service Corporation, is contracted with IHFS as an MCO and operates a Medicaid plan, the Blue Cross Community Health Plan (BCCHP) in the state of Illinois.
How do I enroll as a Medicaid provider in Illinois?
Providers wanting to enroll in the Illinois Medicaid program can do so online by accessing our online provider enrollment system, IMPACT. IMPACT is a web-based system to allow providers a more convenient user experience and ensure our customers receive efficient and high-quality Medicaid services.
What is the phone number for Medicare Illinois provider services?
Call us at 1-800-MEDICARE (1-800-633-4227).
What is the monthly income limit for Medicaid in Illinois in 2024?
Effective April 2024 – March 2025, the medically needy income limit (MNIL) in IL is $1,255 / month for an individual and $1,703 / month for a couple.
Who pays for Medicaid in Illinois?
In IL, the federal government pays 51% of the cost of traditional Medicaid.
How do I contact the medicare provider line?
1-800-MEDICARE (1-800-633-4227)
If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an "Authorization to Disclose Personal Health Information."
How do I find my provider ID number?
In most cases, the Provider ID can be found by searching for the provider on an insurance carrier's Find A Provider tool on their website.
What is the provider identifying number?
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers.
What is Illinois Medicaid called?
HealthChoice Illinois is the statewide Medicaid managed care program.
What is the phone number for BCBS Illinois Medicaid?
1-877-860-2837 (TTY/TDD: 711)
We are available 24 hours a day, seven (7) days a week. The call is free. A live agent can be reached from 8 a.m. to 5 p.m. Central Time, Monday through Friday.
How do I check my Medicaid status in Illinois?
If you aren't sure if your Medicaid coverage has been approved yet or if it is still active, you can check Manage My Case or call the state's Automated Voice Recognition System (AVRS) at 1-855-828-4995 with your Recipient Identification Number (RIN).
How do I find a provider for Medicaid?
Find a Medicaid doctor
Medicaid programs vary by state and each state Medicaid agency maintains their own list of professionals that accept Medicaid. For further assistance, please contact your health plan or your state's Medicaid agency.
How do I contact Illinois Medicaid?
Call the DHS Customer Service Helpline for assistance at: (800) 843-6154 voice/(866) 324-5553 TTY, Monday through Friday, 8:00 a.m. to 5:30 p.m., except state holidays.
Why are people losing Illinois Medicaid?
1, according to the Illinois Department of Healthcare and Family Services. In the months ahead, hundreds of thousands more face losing their coverage. That's because for the first time since the onset of the COVID-19 pandemic Medicaid recipients are being asked to provide proof of their eligibility.
What are the four types of Medicaid?
- State-operated fee-for-service (FFS)
- Primary care case management (PCCM)
- Comprehensive risk-based managed care (MCO model)
- Limited-benefit plans.
What is the cut-off for Medicaid in Illinois?
Illinois offers Medicaid coverage for people with disabilities with income up to 100% of the federal poverty level (monthly income of $1,012 for an individual) and non-exempt resources (assets) of no more than $2,000 (for one person).
Can I change my Medicaid provider online?
During open enrollment, you can switch Medicaid providers online, over the phone, or in person. Make note of the plan you want and have basic information, including your Medicaid ID number, handy. If you switch providers online, you'll likely get a notification confirming that your request has been received.