Managed Care License/Registration Information
Managed Care License/Registration Information
- Utilization Review Organization: Application for Registration (Health Care)
- Utilization Review Organization: Application for Registration (Workers' Compensation)
- Independent Review Organization: Application for Registration
- NAIC Biographical Affidavit Form
- Application Guidelines for Health Maintenance Organizations (HMOs) Certificate of Authority
- Application Guidelines For LHSO Certificate of Authority
- Article XX-1/2 Health Care Reimbursement from 215 ILCS 5/370 f. through r.
- Part 2051, Preferred Provider Program Administrator from Illinois Administrative Code, Title 50
- Preferred Provider Program Administrator Registration and Checklist Forms:
- Health Care Preferred Provider Program Administrator Registration Form Updated: 01-07-2020
- Discounted Health Care Services Plan Only Registration - Updated: 01-07-2020
- Insurer Filing Requirements Updated: 01-08-2020
- Workers’ Compensation Preferred Provider Program Administrator Registration Form Updated: 01-08-2020
- NAIC Biographical Affidavit Form
- Preferred Provider Program Administrator Bond/Fiduciary
- Health Care Preferred Provider Program Administrator Registration Form Updated: 01-07-2020