If patient has MCO coverage at admission, no eQHealth review is needed. Check with your insurance verifier or call the HFS Eligibility Line (800) 842-1461.

Effective August 2014:  eQHealth Implements InterQual® 2014 Criteria

SHORT STAY POLICY REMINDER If you have a stay of 3 days or less post-discharge you can submit your review online within 7 calendar days from the d/c date. (not Detox)

eQHealth Services

Since our inception in 2002, eQHealth Solutions (formerly HSI) has consistently achieved significant impacts in quality of care and Medicaid program savings. As eQHealth Solutions, we assist the Illinois Department of Healthcare and Family Services with:

  • Medical Determinations
  • Utilization Review
  • Quality Improvement
  • Healthcare Technologies
  • Provider Education
  • Clinical Studies


Quick Resources

Click "Provider Resources" tab above to find additional resources

Long Term Acute Care Hospitals

  • In September, 2010, Healthcare and Family Services (HFS) issued an Informational Notice to Hospital Administrators regarding Long Term Acute Care Hospital Quality Improvement Transfer Program Act. Click here to go to the Act.
  • A provision of the Act requires mandatory concurrent review of all LTAC admissions for those covered under HFS Medical Program. The designated LTAC certification line is obsolete 8/5/13. If you do not have Web access call in your requests to 800-418-4033.
  • All program information and educational materials can be found under the LTACResources Tab.


  • eQSuite Training
    Friday, October 17, 2014

    OCTOBER Classes Now Open - Sign Up Today!

    Register  Here- PSYCH Web training   October 23rd - 2 pm

    Need assistance? Contact your assigned Provider Education and Outreach Representative:

    Providers A-M Contact Giovanna De Chiara at gdechiara@eqhs.org

    Providers N-Z Contact Rose Serno at rserno@eqhs.org

  • HFS Attachment D - Codes Subject to Prepayment Review
    Tuesday, July 01, 2014
    With the installment of their new APR-DRG reimbursement system, HFS' Attachment D now shows the list of APR-DRG codes subject to RETROSPECTIVE PREPAYMENT REVIEW.

    For a new list click here, or go to the Quick Resources section below on this page. 
  • HFS Announces Prior Authorization of Elective Procedures
    Thursday, February 06, 2014
    HFS announced prior authorization review for elective, coronary artery bypass grafts (CABG) and back surgery procedures. All ICD-9 procedures in HFS' Attachment F will be subject to prior authorization, effective with planned general inpatient admissions starting April 1, 2014.

    Click on the PriorAuthResources tab on the menu bar above for more information.
    CLICK HERE to read our Provider Update. 
  • Provider Outreach
    Wednesday, January 01, 2014
    For your utilization review education and training needs, please contact your
    designated eQHealth representative:  
    Providers A - M
      Giovanna DeChiara   gdechiara@eqhs.org 
    Providers N - Z   Rose Serno   rserno@eqhs.org


Web System

Certification Requests. Review Status. Discharges. Work On Line - Anytime
  • Sign up for a free hospital Web account today.
    Assign a Web Administrator for your facility, fill out a
    Hospital Contact Form and fax it to us. An eQHealth representative will contact you.

Log in to eQSuite - New Web System

Log in to CMH Entry


eQHealth & HFS login

Our Locations

For eQHealth Solutions in Illinois please click  the 'Learn More' button below

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For eQHeath Solutions in Mississippi (HealthSystems of Mississippi) click here

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eQHealth: Louisiana's Medicare QIO please click here

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For eQHealth Solutions in Florida please click here

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