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.
PLEASE UPDATE YOUR CONTACT INFO - Log into eQSuite® and click on Update My Profile to ensure your email and phone number are current.
REMINDER: Our office will be closed Friday, January 1, 2016. Please submit your reviews online.

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 click on any of our locations at the bottom of this page or visit us at www.eqhs.org

Quick Resources

Click "Provider Resources" tab above to find additional resources

Provider Assistance For 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


Announcements

  • HFS Updates Retrospective Review Process
    Thursday, February 04, 2016
    HFS has approved the implementation of a condensed medical record review. Requiring only specific clinical documentation will significantly reduce copying and delivery costs without compromising the utilization and quality review processes. Click Here to read the Provider Update. 
  • HFS Attachment C Update
    Friday, January 15, 2016

    HFS has made a coding correction to Attachment C.  ICD-10 diagnosis code L59.124 was incorrect . The correct code is L89.124 and it has been added retroactive to 10/1/15.

     
  • NEW YEAR WEB TRAINING
    Thursday, January 14, 2016

    TRAINING SCHEDULE 

    Click on the links below to register :

    Register Here -  DRG Web training on February 18th - 11:00 am

     
  • HFS UPDATES ATTACHMENT A
    Monday, December 28, 2015

    The Illinois Department of Healthcare and Family Services has posted a revised Attachment A to its Peer Review Organization / Quality Improvement Organization webpage. Double click on the following link:

    www.illinois.gov/hfs/MedicalProviders/proqio/      The Department has retroactively added 11 codes to Utilization Review Attachment A.  These codes were crosswalked from ICD-9 diagnosis codes that were subject to review prior to 10/1/15.  The codes are:  F20.3, F25.0, F25.1, F25.8, F31.0, F31.70, F31.71, F31.72, F31.81, F33.8, and F34.9.

     
  • REMINDER FOR PER-DIEM HOSPITALIZATIONS
    Friday, December 04, 2015
    As your UR staff changes, please remind them that it is crucial to include additional diagnosis codes to help support the length of stay for all Per-Diem reimbursed hospital stays. 
  • Have a Question? Submit an Online Helpline Ticket
    Wednesday, April 01, 2015

    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.

     

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