As of August 2015 Medicaid provider enrollment is managed through an online system called IMPACT. IMPACT software users must first register themselves to obtain a single sign-on. Directions are available here. Registering as a Medicaid rendering provider in Illinois requires the provider have several pieces of information ready, detailed here, before beginning the online enrollment process. If you are enrolling for the first time as an FQHC or adding a new site to an existing FQHC please contact firstname.lastname@example.org for tips specific to FQHCs. Members may access an instructional IMPACT webinar and FQHC specific enrollment documentation here.
The Illinois Department of Healthcare and Family Services will be using IMPACT information as a new way to credential providers during the Medicaid provider enrollment and update process. There’s a new question on the enrollment checklist about liability insurance and policy coverage limit insurance. The Bureau of Primary Health Care suggests you respond with the following:
Name of Insurer:
Health Resources and Service Administration (HRSA)
5600 Fishers Lane, Rockville, MD 20852