There are two ways to become an Illinois Health Connect PCP:
- Print, fill out, and send in the application and agreement form (private/group practices
click herePCP Application And Agreement grps and
FQHCs/RHCs/ERCs click herePCP Application And Agreement HCs)
by mail to Automated Health Systems, 1375 East Woodfield Road, Suite 600, Schaumburg,
IL 60173 or fax to 847-995-0827.
- If you have an HFS provider ID number, and you are a private or group practice,
you may submit your PCP application
online. We apologize, but FQHCs/RHCs/ERCs cannot submit applications online
at this time.
To apply online, you will need your HFS provider number and your provider type.
For most physicians not affiliated with a Federally Qualified Health Center (FQHC)
or Rural Health Center, the HFS number is the same as your IL license number. If
you are affiliated with an FQHC or RHC, please check with your clinic administrator
to determine your HFS number.
If you require assistance, please contact our Illinois Health Connect Provider Services
Help Desk at 1-877-912-1999 (TTY: 1-866-565-8577), Hours: Monday
– Friday 8:00a.m. to 6:00p.m. The call is free.