Providers must verify a member’s eligibility on each date of service. To verify member eligibility, please use one of the following methods:
- Online: To log on to the secure provider portal where you can check member eligibility Click Here.
- Touch Tone Automated Phone Line: Call our touch tone automated member eligibility interactive voice response (IVR) system. Call 312-864-8200 / 855-444-1661 / 711 TTD/TTY from any touch tone phone and follow the appropriate menu options to reach our automated member eligibility-verification system 24 hours a day.
- Calling CountyCare Provider Services: If you cannot confirm a member’s eligibility using the methods above, call us at 312-864-8200 / 855-444-1661 / 711 TTD/TTY.
- MEDI: Providers can verify eligibility through the state of Illinois’ MEDI system online at myhfs.illinois.gov.
Note that while PCPs are able to access their monthly member panel list through the provider portal, panel lists should not be used to determine eligibility for benefits. Member eligibility can vary in a given month. Please use one of the methods described above to verify member eligibility on the date of service.
Eligibility for Waiver Services
CountyCare members may qualify for home and community-based waiver services (HCBS), supportive living facility (SLF) or long term care (LTC). Eligibility for these programs is determined by the State of Illinois. To confirm if a member is eligible for these services, contact CountyCare’s Provider Services at 312-864-8200 / 855-444-1661. They will be able to verify if a member is eligible for these services.