MedicaidAdministrativeMedium impact
HFS Managed Care Provider Resolution Portal Updates and Reminders 2023
Illinois Medicaid - HFS·IL·Provider Notice
Effective date
Feb 22, 2023
We identified it
Jun 20, 2026
Summary
Illinois Medicaid providers must now use the HFS Managed Care Provider Resolution Portal for all unresolved disputes with Medicaid MCOs, following strict 30-60 day timeframes and requiring MCO tracking numbers. Providers must first exhaust MCO internal dispute processes and register for portal access before submitting complaints.
Action Required
Immediately: Billing team must register for the HFS Managed Care Provider Resolution Portal at the provided URL. For disputes with Illinois Medicaid MCOs, first use MCO internal dispute process and obtain tracking number. Submit portal complaints only between 30-60 days after MCO submission. Ensure all registration fields are complete including Medicaid ID to avoid processing delays.