For PROVIDERS

Reporting & Transparency for Managed Care Organizations

Ensuring the accuracy and transparency of data is as vital for managed care organizations as it is for the Illinois Department of Healthcare and Family Services (HFS). Data drives everything in modern healthcare;

  • it impacts how we deliver quality,
  • coordinated care to Medicaid beneficiaries,
  • how we pay our providers,
  • how we are paid by the state.

Resource Documents

COMPREHENSIVE BILLING MANUAL

In partnership with our provider partners, IAMHP and it's member plans have developed a Comprehensive Billing Manual to better assist providers:  


Download Billing Guide

For specific plan inquiries or questions, please contact the health plan directly.

For general questions or feedback regarding the comprehensive billing guide, please contact IAMHP.

Tool Kits

BEHAVIORAL HEALTH TOOLKIT

Improving access to behavioral health services and support is more important than ever as we reflect on the last several years of the COVID-19 pandemic. To assist providers with addressing behavioral health needs in their communities, the Illinois Association of Medicaid Health Plans (IAMHP) created this Toolkit for Providers.


Download Behavioral Health Toolkit


MATERNAL HEALTH TOOLKIT

The Illinois Association of Medicaid Health Plans (IAMHP) recognizes the disparities in maternal health outcomes in Illinois, especially for Medicaid members who face barriers to accessing health care. To assist providers in reducing those disparities, IAMHP has created a Toolkit for Providers.


Download Maternal Health Toolkit


MCO TRANSPORTATION TOOLKIT

The Illinois Association of Medicaid Health Plans (IAMHP), Aetna Better Health of Illinois, Blue Cross Blue Shield of Illinois, CountyCare, Humana, Meridian and Molina have pulled together a Toolkit for Providers as a resource for assisting Medicaid members with scheduling of transportation for medical appointments.


Download Transportation Toolkit

WELL CHILD VISITS & IMMUNIZATION TOOLKIT

The Illinois Association of Medicaid Health Plans (IAMHP), Aetna Better Health of Illinois, Blue Cross Blue Shield of Illinois, CountyCare, Meridian and Molina have pulled together a Tool Kit to assist providers to “Recharge Routine Immunizations” for children in Illinois.

Download Well Child Visits & Immunization Toolkit

Are You a Certified BEP/Minority-Owned Business?  

If you are a certified BEP Minority Owned Business interested in collaborating with Medicaid health plan, please let IAMHP know and they will send that information on to the Medicaid health plans. 

Complete the Certified BEP/Minority Owned Business Submission Form and IAMHP will send at least a weekly report to the plans with your information.







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