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.
TRY OUR NEW FEATURE! Current review notifications are available to view and print online through eQSuite™.
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




We also conduct quality assurance projects for Illinois’ Home and Community-Based Services (HCBS) waiver program. These include program development consultation, onsite reviews and program monitoring activities and waiver participant experience surveys.

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 The designated LTAC certification line is obsolete 8/5/13.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.
  • Need to upload your CARETools? Click the LTAC button to your right

Announcements

  • Web System Maintenance
    Friday, July 25, 2014
    Due to essential maintenance all Web-based systems will be unavailable on Saturday, August 9th from 8 am to 8 pm, CST. We apologize for any inconvenience, please submit review before or after this timeframe. 
  • August eQSuite Training
    Tuesday, July 22, 2014

    Sign up for one of our free training Webinars today!

    Register Here -  DRG Web training
    Register  Here- PSYCH Web training 
    Register Here- Prior Auth Web training

    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


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

Learn More

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

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LOUISIANA
eQHealth: Louisiana's Medicare QIO please click here

Learn More

FLORIDA
For eQHealth Solutions in Florida please click here

Learn More