Provider Resources
Provider Manual, Quick Reference Guide & Annual Provider Notice
Training Materials
- Working with CountyCare: A Guide for Providers
- Provider Claim and Medical Necessity Review User Guide
- Provider Dispute User Guide
- Provider Health, Safety, Welfare and Reporting of Incidents and Significant Events
- Provider Training & Resources
- Provider OrientationÂ
- Identifi Portal: Clinical Appeals Submission Quick Reference Guide
- Redetermination
- Redetermination Training Presentation & Recording
- Sample Form A
- Sample Form B
Prior Authorization
- Medical Drug Policies for Prior Authorization
- Medicaid Pharmacy Prior Authorization Request Form
- Administrative Days Authorization Request Form
- Clinical Criteria for Prior AuthorizationsÂ
- CPT Look-Up
- Cook County Healthcare and Hospitals Systems Prior Authorization Guidelines
- Managed Medicaid Prior Authorization Guidelines
- Standard Non-Self-Administered (NSA) Prior Authorization Guidelines
- Standard Commercial Prior Authorization Guidelines
Billing Resources
- Billing Guidelines FQHC-RHC-ERC Providers
- Billing Guidelines for Community Mental Health Providers
- Claim Remark Code LookUp – Reference
- Claim and Medical Necessity Review Form
- Corrected or Voided Claims Resubmission Guidance
- Duplicate Claims Guidance
- EAPG Pricing Billing Guidelines – IAMHP Provider Memo
- EFT/ERA Enrollment
- General Acute Care and Children’s Hospitals Billing Guidelines – IAMHP Provider Memo
- IL Association of Medicaid Health Plans (IAMHP) Billing Resources
- Managed Long Term Supports and Services (MLTSS) Provider Billing Guidelines
- Physician Assistant Billing Guidelines – IAMHP Provider Memo
- Provider Guidelines for Billing CountyCare Members
- Transportation Billing Guidelines
Clinical
- HEDIS Measure Reference Guide
- Find Your Member’s Care Coordinator
- HCBS Member Communication Form
- LASIK Evaluation
- Mammography Sites
- Neonatal Utilization Management FAQs
- Pay-for-Performance
- Quality of Care Referral
- Quality Assessment and Performance Improvement (QAPI) Program
- Youth in Care Psychotropic Medication Frequently Asked Questions
Transportation
- Transportation Billing Guidelines
- Transportation Information and Forms
Newsletters & Notices
Durable Medical Equipment
- Binaural Hearing Air QuestionnaireÂ
- C-PAP/BPAP Renewal Questionnaire
- Certificate of Medical Necessity for Continuation of External Insulin Infusion Pump Rental
- External Defibrillator Prior Approval Criteria
- Hospital Bed Questionnaire
- Knee Brace Questionnaire
- Motorized Wheelchair Evaluation Form
- Questionnaire for Airway Clearance Device
- Questionnaire and Order For Cranial Remolding Orthosis or Cranial Cervical Orthosis Congenital Torticollis Type
- Questionnaire for Enteral Nutrition
- Questionnaire For Negative Pressure Wound Therapy
- Questionnaire for Orthosis
- Questionnaire for Prosthesis
- Questionnaire For Tens Unit
- Wound Measurement Assessment Form
Other
- Universal Provider Roster Template
- Contracts and Letter of Agreement Requests
- Critical Incident Reporting Form
- Descriptions: Provider Type and Specialty
- Exchanging PHI under HIPAA: A Guidance Document for Care Coordinators
- Medicaid Redetermination Information for Providers
- Provider and Hospital Information Validation