Provider Application Access

Access for providers is by provider type and is provided once the provider is successfully registered. Check the list below to see if the provider qualifies.

Provider Type

Description

Applications

010

Physician

IEC, KCAA, ILHC, PIP, DRUG, PCA, ERSA

011

Dentist

IEC, PIP, DRUG

012

Optometrists

IEC, PIP, DRUG

013

Podiatric

IEC, DRUG

014

Chiropractic

IEC

015

Medical Partnership

N/A

016

Nurse Practitioner

IEC, ILHC, PIP, DRUG

017

Insurance Agents

IEC, KCAA

018

Title XXI Outstation Provider

IEC, KCAA

019

Birthing Center

IEC

020

Registered Nurse

IEC, KCAA

021

Licensed Practical Nurse

IEC

022

Physical Therapist

IEC

023

Occupational Therapist

IEC

024

Speech Therapist

IEC

025

Audiologist

IEC

026

Individual Non-Registered

N/A

027

Behavioral Health Clinic

IEC

028

Supportive Living Facility

IEC, SLF, LTC

029

MR Facilities

IEC, LTC

030

General Hospital

IEC, KCAA, ILHC, ERSA, PIP, DRUG, CAPA

031

Psychiatric Hospital

IEC, KCAA, DRUG

032

Rehabilitation Hospital

IEC, KCAA, DRUG

033

Nursing Facility

IEC, LTC, LTCB

034

State Operated LTC Facility

IEC, LTC, DRUG

035

Long Term Care - Day Care Training

IEC

036

Mental Health Services Providers

IEC, KCAA, DRUG

037

DMHDD Day Training

IEC

038

ICF/MI Facility

IEC, LTC

039

Hospice

IEC

040

Federally Qualified Health Centers (FQHC)

IEC, KCAA, ILHC, DRUG

041

State-Aided Clinics

IEC

042

DSCC Waiver Services

IEC, KCAA

043

Encounter Rate Clinics (ERC)

IEC, KCAA, ILHC, DRUG

044

Medicheck Screening Clinics

IEC

045

Family Planning Clinics

IEC, KCAA, DRUG

046

Ambulatory Surgical Treatment Centers

IEC

047

Local Education Agencies (LEA)

IEC, LEA, KCAA

048

Rural Health Clinics

IEC, ILHC, DRUG

049

Shared Health Facilities

N/A

050

Home Health Agencies

IEC, KCAA

051

Community Health Agencies

IEC, KCAA

052

Certified Health Departments

IEC, KCAA, ILHC

053

DORS Schools

IEC

054

Certified Hospital Organized Satellite Clinics

IEC, KCAA, ILHC

055

Early Intervention Services

IEC, KCAA

056

School Bases/Linked Health Centers

IEC, KCAA, ILHC

057

Home Nursing Agencies

IEC, KCAA

058

N/A

N/A

059

N/A

N/A

060

Pharmacies

IEC, DRUG, CAPA, CAPD

061

Independent Laboratories

IEC

062

Opticians/Optical Companies

IEC

063

Other Providers of Medical Equipment/Supplies

IEC

064

Imaging Services

IEC

065

Independent Diagnostic Testing Facilities

IEC

066

N/A

N/A

067

N/A

N/A

068

N/A

N/A

069

N/A

N/A

070

Ambulance Service Providers

IEC

071

Medicar Providers

IEC

072

Taxicab and Livery Companies

IEC

073

Other Transportation Providers (Non-Registered)

IEC

074

Hospital Based Transportation Providers

IEC

075

Dept of Alcohol and Substance Abuse Providers

IEC, DRUG

076

N/A

N/A

077

Integrated Health Home

IEC

078

ACE Accountable Care Entity

IEC, ILHC

079

CCE

IEC, ILHC

080

Health Maintenance Organizations

IEC, KCAA, ILHC

081

HM/HK Case Management

N/A

082

Prepaid Health Plans - Cook County

IEC

083

Managed Care Community Network

IEC, KCAA, ILHC

084

Prescription Drug Plan

IEC

085

Childrens Health Insurance Program Providers

IEC, KCAA

086

Clinical Social Worker

IEC

087

Psychologist

IEC

088

Other Behavior Health Professionals

IEC

089

Physician Assistant

IEC

090

In Home Care - Dept of Aging

IEC

091

In Home Care - Dept of Mental Health

IEC

092

In Home Care - Dept of Rehab Services

IEC

093

DORS-AIDS - Dept of Rehab Services

IEC

094

DMHDD - OBRA Dept of Mental Health - Development Disabilities

IEC

095

N/A

N/A

096

DCFS-AIDS - Dept of Children and Family Services

N/A

097

Community Supported Living Arrangements

IEC

098

TBI Home and Community-Based Services Medicaid

IEC

099

N/A

N/A

100

Family Support Program - FSP

IEC

101

Transition Support Agency

IEC