Illinois

As the behavioral health vendor for IlliniCare, one of the two HMO’s recently selected by the Illinois Department of Healthcare and Family Services (HFS) for the Integrated Care Program membership, Cenpatico is currently contracting IlliniCare’s behavioral/substance abuse provider network.  IlliniCare’s membership includes Older Adults and Adults aged 19 and over with disabilities who are eligible for Medicaid but are not eligible for Medicare.

Benefits of Cenpatico network participation include;

  • Timely claims payment & online claims submission functionality
  • Flexible authorization processes
  • Online member eligibility verification
  • Care coordination services
  • Comprehensive training materials
  • E-Learning and CEU credit opportunities at no charge to you
  • Participation in advisory committees, etc., upon your interest
  • CAQH credentialing applications accepted

Please note that a Medicaid Number is required to join our network.

If you would like to join our Illinois network, please click here to send us an email with the following information:

  • Organization Name
  • Name and Contact Information
  • Brief Description of Services Offered
  • Medicaid Number

Provider Manual

Outpatient Treatment Request (OTR)

Psychological Testing Forms

Electroconvulsive Therapy Form

Administrative and Claims

Clinical

Quick Reference Guides (QRG)

Frequently Asked Questions (FAQ)

Authorization Guidelines

Medical Necessity Criteria

Best Practice Intervention Strategies Fact Sheets

To access the IlliniCare website, please click here, or click on the logo below.

 

 
Proveedores