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Page Content
MCO-001 - HFS Managed Care Provider Resolution Portal - Final 1222020 (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 February 2023 (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 to 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-057 - MCO MPR Reporting Policy February 2023 (pdf)
MCO-058 - DRS HSP Training Policy (pdf)
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Template for Provider Offices
Information for Behavioral Health Providers
Care Coordination Claims Data
Sample HealthChoice Illinois Enrollment Packet Materials and Comparison Chart Information
Medicare-Medicaid Alignment Initiative
Managed Care Community Networks
MCO Performance Metric Dashboard Summaries
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