If patient has MCO coverage at admission, no eQHealth review is needed. Please check with hospital insurance verifier or call the HFS Eligibility Line (800) 842-1461.
DOWNLOAD HFS REVISED ATTACHMENT LIST - Go to Quick Resources section below for revised codes subject to review!
REMINDER: For optimum use of our Web-based system, please check with your IT/desktop support to ensure you have an updated Internet Browser.

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


For more information on our Population Health Management Solutions, please visit us at www.eqhs.org

Quick Resources

Click "Provider Resources" tab above to find additional resources

Provider AssistanceFor utilization review questions:

Submit an Online Helpline ticket via eQSuite®.

Out of State Hospitals or Password Help:

Contact us at (800) 418-4045

Use the eQSuite® Online Helpline for:

» Utilization and quality review process

» Review requirements and timeframes

» Reconsideration process

» Creating temporary Physician IDs

» MCO or other eligibility verification questions


  • Prepayment Review and Billing Errors Webinar
    Monday, March 20, 2017
    This Webinar is offered specifically for Providers with high billing error rates. 
    We invite Patient Accts, Billing Managers and Case Managers to attend this 1 hour Webinar on Tuesday, April 4th from 2:00 to 3:00 p.m.
    Click Here to register your hospital.
    Friday, February 17, 2017
     Effective April 2017, eQHealth will implement electronic submission (upload) of medical records for Pre and Post-payment review. To sign up for Retro Chart Web Training, you must have a 12 digit IL Medicaid Provider ID.  Click HERE TO REGISTER. 
    Thursday, December 08, 2016
    HFS identifies codes that have been deleted on the national level with expansions of those codes and new codes that will be subject to certification of admission/concurrent/ continued stay review (Attachments A and B), prepayment review (Attachment E) and prior authorization review (Attachment F). Click Here for HFS Notification 12.7.16 
    Thursday, November 17, 2016

    Click a link below to register for either:
    Psychiatric Web Review - Tuesday, February 21st  @ 1:00 p.m.
    Med/Surge DRG Web Review -   Thursday, February 23rd @  11:00 a.m.

  • New Provider ID from HFS?
    Tuesday, April 26, 2016

    As part of the Medicaid enrollment process, if your hospital has new Provider IDs for either Psych and/or MedSurg please submit a Hospital Contact Form to us.

    Fill out form with new contacts and assign Liaison and Web Administrator(s). The form must include the appropriate sign off from Hospital Adminstrators:  

    • Whoever is assigned as the Web Administrator will need to create new user log ins for staff who need to submit requests to eQHealth under that new Provider ID.
    • New admissions will need to be submitted using the NEW provider ID (new log in).
    • If hospitals have different Provider IDs for Psych and MedSurg, the requestor must use the correct log in to submit review requests for each service.

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

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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