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.
 
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


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

  

 

 

 

 

  

 


Announcements

  • eQSuite Training
    Friday, November 21, 2014

    December Classes Now Open - Sign Up Today!

    Register  Here- PSYCH Web training   December 11th- 2pm

    Register Here -   DRG Web training December 9th-11am

    Register Here -Prior Auth December 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

     
  • Have a Question? Submit an Online Helpline Ticket
    Thursday, November 20, 2014

    In alignment with our transition to 100% concurrent web review, the Department of Healthcare and Family Services has approved a shift from telephonic to electronic method for submitting Provider inquiries. Effective December 15, 2014, all questions pertaining to utilization review and requirements must be submitted online through eQSuite®.  

    Click on Provider Update for details.

     
  • Thanksgiving Holiday Closure
    Wednesday, November 19, 2014
    eQHealth will be closed for Thanksgiving on November 27th and 28th. HFS is temporarily extending the short stay policy to 4 days. View the Provider Update for details. During this time continue to use eQSuite® for all your utilization review requirements:
    • Log on to submit requests, view/print letters, enter discharge dates, run reports 
     
  • Hospital Contact Form Makeover
    Monday, November 03, 2014
    Effective today, hospitals will be able to submit eQHealth's Hospital Contact Form electronically! We have converted the paper-based form into a PDF. Once the form is filled out, it can be e-mailed directly to the Provider Education Team.

    Need a copy? The Hospital Contact Form and instruction on how to create an electronic signature can be found under the Quick Resources section of our homepage.
     

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