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.
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

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

Provider Outreach 

For Provider Education and Training:

Email your request to rserno@eqhs.org

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


  • All Admissions on and after October 1, 2015
    Monday, October 05, 2015
    All requests for inpatient admission on and after October 1, 2015 require ICD10 codes
  • Prepayment Review & Billing Errors Webinar
    Monday, October 05, 2015
    This Webinar is offered specifically for Providers with high billing error rates
    CLICK HERE to register for the November 18th presentation. 
    Friday, September 25, 2015

    A Provider Update was faxed to eQHealth Liaisons on September 25, 2015. This describes the necessary steps for Child/Adolescent Psychiatric cases that "cross-over" from September to October. Please read ICD10 Provider Update for Child/Adolescent Psych.

    A Provider Update was faxed to eQHealth Liaisons on September 2, 2015. It describes an adjustment in review process ONLY for those hospitalizations that "cross-over" from September to October. Please read the full ICD-10 Provider Update for details. 

    Monday, August 24, 2015


    REGISTER HERE - Behavioral Health  - September 29th - 11 a.m.
    REGISTER HERE DRG Web Review Training  - September 30th - 2 p.m.

  • InterQual 2015 Criteria
    Thursday, July 09, 2015
    Starting Monday, July 13, 2015 our nurse reviewers will apply InterQual® 2015 Criteria when conducting review. This is a standard requirement that we implement each year. 
  • 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

For eQHealth Solutions in Illinois please click  the 'Learn More' button below

Learn More

For eQHeath Solutions in Mississippi (HealthSystems of Mississippi) click here

Learn More

eQHealth: Louisiana's Medicare QIO please click here

Learn More

For eQHealth Solutions in Florida please click here

Learn More