Notice of Privacy Incident
Medicaid Provider Termination Alert: Revalidation deadlines are approaching. Failure by providers to revalidate will lead to termination and payment suspension. Check your account now at https://impact.illinois.gov/ to learn if your required revalidation is due this month. More revalidation information here.

Application Request

An All Kids Application may be requested by completing the following information.

Name

Street address

City

State

Zip

E-mail Address

Please enter a valid e-mail address

Request

E-mail Application

Mail Application

All Kids Hotline 1-866-ALL-KIDS (1-866-255-5437)

TTY: 1-877-204-1012

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