Provider Connections

IMPACT

Illinois Medicaid Program Advanced Cloud Technology (IMPACT) is a web-based provider enrollment application that meets Federal requirements is more convenient for providers and increases efficiency by automating and expediting State agency processes. This process eliminates some paperwork previously required.

Eventually all Early Intervention (EI) providers will be required to enroll in the EI Program/Medical Assistance Program via the IMPACT systems. The IMPACT website, provides detailed information regarding the IMPACT enrollment/revalidation process, related activities, and timelines. Currently Assistants, Interpreters/Translators, Deaf Mentors, Parent Liaisons, Licensed Dietitian Nutritionists, and Service Coordinators DO NOT NEED TO ENROLL IN IMPACT.

Provider Connections has developed Early Intervention IMPACT Enrollment Guidelines to assist with the enrollment process. These guidelines contains important information, so please take the time to read them before attempting to complete the IMPACT process. 

Tips for IMPACT Enrollment

  • All Early Intervention Providers MUST associate to the EI Billing Provider 7094782 and the EI MCO 3000005. This is the Early Intervention Mangaged Care Organization. IMPACT lists it as optional, but it is not optional for Early Intervention Providers.
  • The default setting for Application Type is "Rendering/Servicing Only;" however, if you are an individual provider, you will need to change this to "Individual/Sole Proprietor," so you can associate to the Early Intervention Billing Agent 7094665.
  • Providers must complete the Modification Checklist and Submit the Modificiation Request for Review when making changes to their IMPACT applications.
  • If a person needs to gain access to a provider’s file, there are two ways this can occur. The first way to gain access to the application  in IMPACT is by completing  a DAR form. The second option is for the person who actually enrolled the provider to grant someone access, through the Domain Administrator profile in IMPACT. For more information, please view the Domain Administrator Rights document.

IMPACT Resources

Provider Connections

Contact Info

Provider Connections
Center for Best Practices in Early Childhood Education
Western Illinois University
1 University Circle
Macomb, IL 61455

Phone:  800-701-0995
Fax:  309-298-3066
Email: providerconnections@wiu.edu

News
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  • Important Provider Information Notice Regarding Affordable Care Act Compliance with Electronic and Paper Claims Remittance – 10/11/17

  • Important Provider Information Notice regarding Audit Compliance of Claim Submission by Calendar Month – 10/11/17

  • Early Intervention Provider Payment Update Effective 10/20/17

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