Ill. HFS Handbook for Hospice Agencies, Topic K-201.1

A proprietary or not-for-profit hospice holding the following qualifications is eligible to

be considered for enrollment to participate in the Department’s Medical Programs:

• A valid license issued by the Illinois Department of Public Health (or meeting

the requirements of the State in which the hospice provider is located) and

• Certification by the Social Security Administration for participation in the

Medicare Program (Title XVIII).

A hospice program shall comply with the Health Care Worker Background Check Act

and the Health Care Worker Background Check Code.

To comply with the Federal Regulations at 42 CFR Part 455 Subpart E - Provider

Screening and Enrollment, Illinois has implemented a new electronic provider

enrollment system. The web-based system is known as Illinois Medicaid Program

Advanced Cloud Technology (IMPACT).

Under the IMPACT system, category of service(s) (COS) is replaced with Specialties

and Subspecialties. When enrolling in IMPACT, a Provider Type Specialty must be

selected. A provider type subspecialty may or may not be required.

Refer to IMPACT Provider Types, Specialties and Subspecialties for additional

information.