Become an HFS Application Agent
HFS APPLICATION AGENT INSTRUCTIONS
HFS Application Agents (AKAA's) are community-based organizations that have ongoing contact with persons likely to be eligible for medical coverage under the State ofIllinois’ Medicaid Program. The Department of Healthcare and Family Services (HFS) requires HFSAAs to complete Agreements and participate in training that includes information on the different Medicaid programs available, how to complete an Application for Benefits Eligibility (ABE) Application, and the documentation required for program eligibility.
Steps to becoming an HFSAA:
- Complete and submit Request to become an HFS Application Agent
- Complete W-9 and certify with IL State Comptroller (Instructions) if not already certified
- Enroll in, or edit IMPACT enrollment to request HFSAA
- Complete and submit Application Agent Agreement
- Complete and submit Business Associate Agreement
- Participate in training
- Set-up ABE Provider Portal Account
All forms should be submitted to HFS.ApplicationAssisters@illinois.gov
HFSAA Applicants must enroll as an HFSAA Provider through the HFS Illinois Medicaid Program Advanced Cloud Technology (IMPACT) System. You will be given a Provider ID after completing the enrollment process. Some tasks may need to be completed before you can enroll. Your agency must have a certified W9 tax form on file with the IL State Comptroller to enroll in IMPACT. Check requirements before starting the enrollment process. Go to http://IMPACTinfo.illinois.gov to enroll. If you have any questions concerning enrollment, contact the Help Desk at 1-888-618-8078 or by e-mail at IMPACT.email@example.com.
HFS has a host of training materials for its partners and providers. Materials can be found on the HFS Application Agents page on the HFS website. There are also regularly scheduled Webinars that will be posted to the HFSAA site. All HFSAAs must attend a Webinar or an online training module prior to offering assistance services to customers. If you have questions, you can call (877) 805-5312 or (217) 557-4993 or TTY- (877) 204-1012.
Once all requirements are complete, the organization will be entered into the Department's computer system as an HFSAA provider and assigned a provider number.You will be notified in writing when you have been enrolled. Do not submit applications until you have been notified in writing that you are enrolled as an HFS Application Agent.
Setting up an Account in the ABE Provider Portal
Your notification of HFSAA enrollment will include the provider number to be used when setting up Accounts in the ABE Provider Portal. Use the Job Aid, ‘Creating an ABE Provider Portal Account’to assist you in setting up your account in ABE. If you will be the Agency Security Administrator at your agency, you will also need to go to the ABE Provider Portal Registration page and submit the Request for Primary Agency Security Administrator Approval.
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