Below you will find a variety of resources related to billing and documentation in the Illinois Early Intervention System.
The EI-CBO website facilitates information sharing with early intervention providers, early intervention program participant parents or guardians, and Child and Family Connections agencies.
EI-CBO Enrollment Overview from Provider Connections provides links and information about IMPACT and enrolling with EI-CBO.
EI-CBO Information for Providers EI-CBO page for providers related to billing and insurance which includes updates, notices and information related to claim submission, billing forms, IFSP development, free insurance billing services, and a monthly question and answers page.
EI-CBO Billing and Information for Providers Booklet (July 2013) (pdf) A comprehensive guide from EI-CBO for providers on billing and insurance in Illinois EI, including the following:
• Overview of the EI-CBO process
• How to bill to EI-CBO
• Claim submission
• Suggested practice for interacting with private insurance companies
• Reading an IFSP
• Insurance documentation
EI-CBO Insurance Billing Unit EI-CBO offers a free insurance billing service. This page links to additional information about this service.
Video: Helpful Tips for Completing a Benefit Verification The video reviews things to consider before starting services with participants with private insurance coverage, questions to ask when completing a BV and important information to consider after the completion of the BV call. This video and other resources are found on the EICBO Provider page.
Video: Family Fee This video provides an in-depth review of the family fee and can be found under the EICBO CFC page.
Forms, tools, and checklists used during the monitoring process for providers and Child and Family Connections agencies may be found on the Early Intervention Monitoring Program website.
The Provider Handbook was revised in December 2016 with resources related to the Provider Handbook. This handbook provides important early intervention policies and procedures including a service description for each of the sixteen services, a list of qualified staff for each service, and billing codes and rates for each service. The billing codes and rates are in the handbook and are housed under each of the service descriptors (Chapters 7-22). Non-billable services are summarized in Chapter 6, under Billing Guidelines and Use of Insurance.
Developed by EITP in collaboration with the Illinois Early Intervention Central Billing Office (CBO), this online training is divided into eight mini-modules and provides an overview of the process for billing insurance as a provider in the Illinois Early Intervention System.
These training modules are targeted to Illinois EI providers and individuals responsible for submitting claims for early intervention services to insurance and/or the CBO, and include the following topics:
- Rationale for Illinois EI Billing & Insurance
- Billing Requirements
- Roles & Responsibilities
- Terminology & Benefit Verification
- Claim Submission
- Waivers & Exemptions
- Tips and Resources
To register for this online training and receive EI credit for viewing the modules, please visit https://go.illinois.edu/EITPonline.
Illinois Department of Human Services provides instructions for recordkeeping including (but not limited to) policies, HIPAA, complaints, and permanent case records. This information is found in the CFC Procedure Manual (FY16).
QClaims is a web-based electronic billing solution that is designed to work seamlessly with existing provider and payer systems to deliver claims and reports. Contact the Central Billing Office for additional questions regarding QClaims.
The "FAQ on Insurance" is a list of answers to questions received during and shortly after the Insurance Webinars held in October 2015 to assist CFCs, EI Stakeholders and Providers in understanding and further clarifying the use of insurance in Early Intervention. As stated during the Webinar, this information does not reflect a policy change.
An accurate service authorization is required for early intervention providers to receive payment for any services delivered within the Illinois Early Intervention System. This resource includes some important tips for providers to help them read, proof, and understand their service authorizations. A sample authorization and definitions for place of service have been included as part of this resource.
This 1-page graphic includes rules, tips and strategies for documentation in Illinois Early Intervention.