1.Program Definition and Services
Adult Health Services in Illinois provide comprehensive health care to adults aged 60 and over. Services include:
- Primary and preventive care
- Chronic disease management
- Health education and counseling
- Medication management
- Wellness programs
- Referrals to specialists
2. Regulations
The program is governed by:
- Illinois Public Aid Code (305 ILCS 5/5 et seq.)
- Title XIX of the Social Security Act (Medicaid)
- Illinois Administrative Code Title 89, Chapter I, Subchapter d (Medical Payment)
3. Licensing or Certification
Providers must be licensed healthcare professionals (e.g., physicians, nurse practitioners) and enrolled as Medicaid providers with the Illinois Department of Healthcare and Family Services (HFS).
4. Responsible State Agency
The Illinois Department of Healthcare and Family Services (HFS) oversees the Adult Health Services program.
5. Application Process
The application process involves :
- Obtaining the appropriate professional license
- Enrolling as a Medicaid provider through the Illinois Medicaid Program Advanced Cloud Technology (IMPACT) system
6. Required Documentation
Providers must submit:
- Professional license
- Proof of malpractice insurance
- National Provider Identifier (NPI)
- Completed IMPACT enrollment application
- Compliance with federal and state regulations
7. Timeline for Approval
The exact timeline for approval is not specified in the available results. Providers should contact HFS for more detailed information on the approval process and expected timeframes.
8. Pre-Application Process
There is no specific pre-application process mentioned. However, potential providers should ensure they meet all eligibility requirements before applying.
9. Pre-Application Training
No specific pre-application training is mentioned. However, providers must maintain their professional credentials and complete continuing education as required by their licensing boards.
10. Additional Notes
- Providers must comply with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
- As of March 3, 2025, providers must adhere to the most recent HFS guidelines for service delivery and documentation.
- The program emphasizes preventive care and chronic disease management to reduce unnecessary hospitalizations and improve overall health outcomes for older adults.
- Providers may need to coordinate care with other community-based services to ensure comprehensive support for older adults.
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