stethoscope

Join our network and find credentialing information.

Log in to Availity Essentials™ to access patient benefits, claims information and more.

Find tools and materials to support doing business with us.

Learn more about research and trends that impact your practice.

Find self-service info and phone numbers and update your provider data.

Review prior authorization lists for services, medications and submission guidance.

Prior authorization submission information

Professionally administered drugs prior authorization

Find appeals guidelines and payment policy information.

Learn how to submit claims and find coding guidance.

Find policies for procedures, devices and medications.

Review guidelines and health programs to support your patients and practice.

Find dental benefits, tools and resources.

Prior authorization for professionally administered drugs 

Locate state-specific resources for Humana Healthy Horizons® (Medicaid).

compass

Shop plans, learn about Medicare and explore member resources.

Search for in-network medical, vision, dental and pharmacy providers.

Illinois Medicaid

A  female caretaker assists a man test his glucose

The Centers for Medicare & Medicaid Services (CMS) requires state Medicaid programs to revalidate all actively enrolled Medicaid providers at least every 5 years.

Even if providers have revalidated their provider enrollment with Medicare, they also must complete the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) revalidation process with Illinois Medicaid.

Visit the Stay Connected to Medicaid! flyer for more information.

Providers also can visit the Illinois Provider Enrollment Services webpage or call the IMPACT help desk at 877-782-5565, option sequence 1, 2, 1

It’s time for your patients with Medicaid to renew their Medicaid coverage

Illinois is checking to make sure Medicaid recipients in Illinois are still eligible for Medicaid coverage, and the Illinois Department of Healthcare and Family Services is asking all providers who care for Medicaid recipients in Illinois to reinforce the importance of completing the renewal process.

To help make sure your patients with Medicaid coverage don’t accidentally lose their coverage and benefits, please remind them to:

Visit the application for benefits eligibility page, sign in to their account and select Manage My Case.

Verify your mailing address under Contact Us, which will display as an option after they sign in to their account.

Locate their due date (the “redetermination” date) in their Benefit Details. They can opt in for text and email alerts about their renewal date by Account Management tab under Manage your communications preferences.

Everyone’s renewal date is different, so it is critical that Medicaid recipients in Illinois get ready to renew.


Members will receive renewal information in the mail about 1 month before their renewal date. They must complete and return it right away. They can complete their renewal online, by returning in the mail or by calling 800-843-6154.

For help with their renewal, members can call 800-843-6154.

Provider notices and updates

From time to time, we post key information and updates for our providers, including reminders and administrative updates.

Access key provider notices and updates

Provider documents

We make available key provider documents, including the Provider Resource Guide and Provider Manual, and documents the Department of Healthcare and Family Services asks us to make available to our providers.

Access provider documents

Humana Gold Plus Integrated Medicare-Medicaid Provider Newsletter is our newsletter for Humana Gold Plus Integrated Medicare-Medicaid providers. It contains helpful information for your practice and patients. You can find each new issue posted to this webpage.

Provider training materials

Humana and the state of Illinois require all entities participating with dual Medicare-Medicaid plans and Medicaid plans—including those contracted with subsidiaries—complete the following training materials:

Cultural competency training

Health, safety and welfare education training

Medicaid provider training

Humana orientation training

Compliance and fraud, waste and abuse training

Access, complete and submit required trainings

The Humana Gold Plus® Integrated Medicare-Medicaid plan is available statewide in Illinois.

Illinois Medicaid Provider Notices and Updates

Illinois Medicaid Provider Training Materials

Illinois Medicaid Provider Long-Term Services & Support

Medicaid IMPACT alert: Providers must revalidate to stay in Illinois program

Illinois regions

Illinois Medicaid