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MedicaidAdministrativeMedium impact

Expansion of Mandatory Enrollment in Illinois Health Connect - Northwest Counties

Illinois Medicaid - HFS·IL·Provider Notice
Effective date
May 29, 2007
We identified it
Jun 21, 2026
Days to comply

Summary

Illinois Health Connect (Medicaid managed care) expanded mandatory enrollment to 24 northwest counties effective May 29, 2007. Medicaid patients in these counties must now select a primary care provider and follow managed care protocols for referrals and authorizations.

Action Required

Action needed
Immediately: Billing team should verify patient enrollment status in Illinois Health Connect for patients from northwest Illinois counties (Boone, Bureau, Carroll, DeKalb, Fulton, Henderson, Henry, JoDaviess, Knox, LaSalle, Lee, Marshall, Mercer, Ogle, Peoria, Putnam, Rock Island, Stark, Stephenson, Tazewell, Warren, Whiteside, Winnebago, Woodford). Contact Illinois Health Connect Provider Helpline at 1-877-912-1999 for enrollment verification. Update patient records to reflect PCP assignments and ensure proper referral protocols are followed for specialty visits.