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


Provider OutreachFor your utilization review education and training needs, please contact your
designated eQHealth representative:
  

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

Providers N-Z: Rose Serno rserno@eqhs.org

Long Term Acute Care Hospitals
All program information and educational materials can be found under the LTACResources Tab.
 
Questions for eQHealth? 

  »Regarding utilization or quality review process

  »Review requirements, timeframes, notices

  »Information on denials/reconsideration process

  »Creating temporary physician IDs 
  »Web system-eQSuite:

       •Assistance with passwords

       •User support

 Call our Provider Helpline (800)418-4045 or submit your questions on eQSuite®. Please do not contact the Certification Line.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

  

 


Announcements

  • eQSuite Training
    Friday, October 17, 2014

    November Classes Now Open - Sign Up Today!

    Register  Here- PSYCH Web training   November 13th- 2pm

    Register Here -   DRG Web training November 6th-11am

    Register Here -Prior Auth November 18th 2pm

    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

     

Certification Requests. Review Status. Discharges. Work On Line - Anytime

  • To access eQSuite®:
    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

Learn More

LOUISIANA
eQHealth: Louisiana's Medicare QIO please click here

Learn More

FLORIDA
For eQHealth Solutions in Florida please click here

Learn More