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MCO-001 HFS Managed Care Provider Resolution Portal - Final 12222020 (pdf)
M
CO-003-Payment of Bad Debt (pdf)
MCO-004-Children's Dental Network Upload Rqmts (pdf)
MCO-005 - Reporting Death of a Member (pdf)
MCO-006-Dispute Process-Claims (pdf)
MCO-007-Dispute Process-Prior Auth (pdf)
MCO-008-Electronic Visit Verification (pdf)
MCO-009-Enrollee Materials Review Process (pdf)
MCO-010-HRA-HRS Completion-Returning Enrollees (pdf
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MCO-011 HEDIS-CAHPS Questions 07062020 (pdf)
MCO-012 Home Delivered Meals Updated 12/02/2021 (pdf)
MCO-013-Home Modification-DRS HSP (pdf)
MCO-014-HSP Individual Provider Overtime (pdf)
MCO-015-HSP PA Services Outside the Home (pdf)
MCO-016-Move from Indiv Provider to Homemaker (pdf)
MCO-017 - LTSS Hard to Reach Members (pdf)
MCO-020 - Newborn Claims Processing (pdf)
MCO-021 - Participant Transfer-Aging Clients to FFS (pdf)
MCO-022 - Participant Transfer-Waiver Eligible (pdf)
MCO-023 - Patient Credit File [V3] (pdf)
MCO-025 - Pharmacy Rebates (pdf)
MCO-026 - Provider Directory Rqmts February 2023 (pdf)
MCO-027 - Physician Termination from MCO [V3] (pdf)
MCO-028 - MCO Rate Questions (pdf)
MCO-029 - Service Cost Maximum Letter (pdf)
MCO-030 - Specialized Family Support Program (pdf)
MCO-031 - TPL for LTC and SLP Residents 06252020 (pdf)
MCO-033 - Waiver Services Closeout MCO Responsibilities 09032020 (pdf)
MCO-035 - Critical Incident Reporting (pdf)
MCO-036 - Definitions-Enrollee Materials 07212020 (pdf)
MCO-037 - PCS (HFS 2270) Form and Reporting 12192022 (pdf)
MCO-041 - Reporting Key Position Changes February 2023 (pdf)
MCO-043 - MCO Quarterly Attestation of Adherence o the Department's PDL February 2023 (pdf)
MCO-044 - Aging and DRS DONs and SCMs (pdf)
MCO-045 - Care Plan Deviations Policy (pdf)
MCO-046 - Home Modifications Policy (pdf)
MCO-047 - MCO Enrollees in Neurorestorative (pdf)
MCO-048 - Ride Share Waiver Utilization (pdf)
MCO-049 - SharePoint Tracking and Monitoring February 2023 (pdf)
MCO-052 - Annual Attestation of Adherence - Drug Utilization Review (pdf)
MCO-055 - Community Transitions Initiative (pdf)
MCO-058 - DRS HSP Training Policy (pdf)
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Joint HFS DHS Presentation on Williams and Colbert to MCOs and Prime Agencies
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Map of Managed Care as of August 1, 2021
HFS Managed Care Provider Resolution Portal
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Managed Care Manual for Medicaid Providers
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Encounter Submission Manual
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Sample Transition and Expansion Letters
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Attestation of Training - Completion Form
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Sample HealthChoice Illinois Enrollment Packet Materials and Comparison Chart Information
Medicare-Medicaid Alignment Initiative
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