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Resolve Your Disputes with MCOs Through a New Portal
Posted on: 3/19/2021

If you are participating in Illinois’ Medicaid Managed Care program and have unresolved disputes with a Medicaid Managed Care Organization (MCO), here’s help.

The Illinois Department of Healthcare and Family Services (HFS) offers a dispute resolution portal specifically for this purpose. To receive help resolving issues with an MCO, physicians and other healthcare professionals are now required to submit disputes through this portal

To learn more, read HFS’ March 3, 2021, Provider Notice.

Questions regarding the portal or portal registration can be submitted to the Bureau of Managed Care and Portal team by email

For complaints pertaining to Medicaid fee-for-service, physicians should continue to direct their issues to HFS at 877-782-5565

If you have questions, please contact the ISMS Health Policy Research and Advocacy team by email

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