Information for Providers

​All Kids health insurance program provides Illinois families with affordable and comprehensive healthcare for children, regardless of immigration status or medical condition. Some families may have co-pays and premiums based on family income. Healthcare and Family Services (HFS) administers the All Kids program. This Web page helps providers find useful information on how to work with HFS in providing medical services to the children enrolled in All Kids.

Provider Releases

HFS communicates changes in its coverage and billing policies through the release of provider notices and bulletins. HFS also posts all notices and bulletins under the Provider Releases on the HFS Web site and sends an e-mail to providers registered for e-mail notification.

Provider notices and bulletins are organized in date order under the provider category impacted by the information being communicated. For example, the May 9, 2011, provider notice titled Billing for Preventive Services can be found under the Physicians category on the provider releases page.

Eligibility Verification

Providers may use the Medical Electronic Data Interchange (MEDI), Recipient Eligibility Verification (REV) and Automated Voice Recognition System (AVRS) to check eligibility for All Kids. The MEDI and REV eligibility systems will include information on the specific co-payment amounts, other insurance coverage and primary care physicians. The AVRS eligibility system will only identify the All Kids coverage level, not the specific co-pays or other information.

Use this link for information on the MEDI System.

Use this link for information on the REV Eligibility System.

AVRS eligibility system is available 24 hours a day at: 1-800-842-1461.

Provider Enrollment

You must be enrolled as a provider with HFS to be paid for providing All Kids services. If you are not an enrolled provider and are interested in enrolling with HFS, enrollment applications and forms are available at Provider Enrollment on the HFS Web site.

Billing and Prior Approval

Providers should follow the same billing and prior approval policies and procedures used for any participant covered by one of the HFS' medical programs.

Provider Handbooks

Provider handbooks are organized into three chapters. Chapter 100 contains policies and procedures that apply to all providers enrolled with HFS. The Chapter 200 series contains policies and procedures specific to a certain provider type or service. Chapter 300 contains policies and procedures for electronic billing. Most of the handbooks are available for downloading under the Provider Handbooks on the HFS Web site.

Appendix 12 and 13 of the Chapter 100, General Policy and Procedures Handbook include the co-payment amounts for All Kids.

E-mail Notification

HFS encourages all providers to sign up for e-mail notification of provider related communications. Providers may register to receive e-mail notification each time HFS posts provider-related material to the Web site by registering to receive e-mail notification on the HFS Web site.

In addition to selecting specific provider or service categories, HFS recommends that all providers select the All Medical Assistance Providers category. By registering for the electronic notification providers can be sure they will receive all relevant information without delay.

Medical Electronic Data Interchange (MEDI) Internet Site Registration

Any provider enrolled with HFS can use the MEDI Internet Web site to verify eligibility, submit claims or check claim status. All of these features can be accessed free of charge through a standard personal computer linked to the Internet. No additional hardware or special software is needed in order to use the MEDI system. To ensure confidentiality of information transmitted through the Internet, providers are required to register for a digital certificate and then complete the MEDI registration process

All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)

TTY: 1-877-204-1012

 
 

 

 


All Kids

 

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