YouthCare
About the Program
YouthCare HealthChoice Illinois is a specialty health plan designed by Illinois Healthcare and Family Services (HFS) and Department of Children and Family Services (DCFS) to serve current youth in care and former youth in care.
We are the only MCO that will be delivering this specialty health plan called YouthCare effective February 1, 2020.
We are working with HFS and DCFS.
To see if your provider is in network, please call 844-289-2264 (TTY: 711).
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Resources
- YouthCare Provider Manual (PDF)
- YouthCare Inpatient Prior Auth Form (PDF)
- YouthCare Outpatient Prior Auth Form (PDF)
- IL Home and Community-Based Services Waiver (PDF)
CMS Interoperability & Prior Authorization Final Rule: CY2025 Prior Authorization Requirements Reports and Metrics Summaries
In accordance with the Centers for Medicare & Medicaid Services (CMS) Final Rule (CMS 0057 F), we are annually publishing our prior authorization requirements and performance metrics to promote transparency, accountability, and better support our members and providers.
Reports:
- IL Meridian CMS Final Rule 0057-F Prior Authorization Requirements (PDF)
- IL Meridian Prior Authorization Metrics Summary (PDF)
The data presented in these publications reflects prior authorization requests processed during the applicable measurement year in accordance with CMS reporting specifications. Metrics are calculated using CMS defined methodologies and may not be directly comparable to alternative reports or third party summaries.