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: 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


ANNOUNCEMENTS

  • 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.
    • Admissions on and after the new Provider ID effective date 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.
     
  • UPDATE PSYCH WEB REVIEW
    Wednesday, April 20, 2016
    Not able to submit Psych Review?

    HFS has asked that the hospital’s finance department contact HFS to check your provider enrollment status and confirmation of your Provider ID and associated services under that Provider ID (med/surg and psych).

    Ask you finance department to follow up with HFS by email at  IMPACT.Help@Illinois.gov or calling (877) 782-5565 Option 1.

     

    After you receive final confirmation from HFS regarding your 12-digit Provider ID(s) for med/surg AND psych, we will then be able to assist your team.  

     
  • MED/SURG and PSYCH REVIEW ALERT
    Tuesday, March 15, 2016
    ATTENTION: UPDATE 3/30/16 - 

    We have confirmation that SOME providers are unable to submit review as Medicaid is in the process of enrolling and revalidating Medicaid-funded providers and updating their Provider files (our system is fed by HFS provider file).

     

    Please check to see if you can now submit review. Allowances will be made for timeliness for those hospital affected by this issue.
    Hospitals should continue to alert eQHealth if they cannot submit review and the hospital’s finance/patient accounts manager should direct their questions regarding their Provider enrollment status to the IMPACT Help Desk at IMPACT.Help@Illinois.gov or (877) 782-5565 Option 1.

     
  • 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.

     

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