1. Program Definition and Services 

Adult Health Transportation in Illinois provides non-emergency medical transportation (NEMT) services for adults to access healthcare appointments and services. Services include: 

• Transportation to medical appointments 

• Rides to pharmacies after provider visits 

• Wheelchair-accessible transportation 

• Door-to-door service when needed 

2. Regulations 

The program is governed by: 

• Illinois Administrative Code Title 89, Chapter I, Subchapter d (Medical Payment) 

• Health Care Worker Background Check Act [225 ILCS 46] 

3. Licensing or Certification 

Providers must be enrolled as Medicaid transportation 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 NEMT program. 

5. Application Process 

Providers must: 

• Enroll as a Medicaid provider with HFS 

• Contact HFS Provider Enrollment Services at 217-782-5565 or 888-618-8078 for assistance with enrolling as a non-emergency transportation service provider 

6. Required Documentation 

Providers must submit: 

• Proof of compliance with Medicaid provider requirements 

• Vehicle safety and maintenance records 

• Driver qualifications and background checks 

• Insurance documentation 

7. Timeline for Approval 

The exact timeline for approval is not specified. 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 ensure that their drivers meet required qualifications and training standards set by state regulations. 

10. Additional Notes 

• Providers must be able to accommodate wheelchair-accessible transportation when needed 

• Transportation must be scheduled at least 2-3 business days in advance for non-emergency services 

• Managed Care Organization (MCO) members should contact their specific MCO for transportation services 

• Providers should be prepared to offer curb-to-curb service and assist passengers with special needs