Find out what our participant families can expect as we continue to roll out CarePay, our new claims processing system

We want to share our progress as we implement a new claims system and explain what this change means for you. 

In May, the Division of Specialized Care for Children (DSCC) launched our new claims processing system called CarePay. We developed CarePay to offer faster and more efficient claims processing. 

We are continuing to work through the initial rollout and its related issues. Here is what our participant families can expect and need to know: 

For Core Program Families

As we move to CarePay, you may experience some temporary delays with our claims processing. It could take up to 30 days for us to pay a claim. 

If you or your child’s provider has been waiting for a claim payment for longer than 30 days, please contact us. We can verify that we have properly received your claim submission and investigate any issues.

If you have experienced a significant delay with a claims payment, please bring it to the attention of your care coordination team so we can help you. 

For Home Care Program Families

• We are continuing to issue payments to nursing agencies at the updated 2025 rates. The rate increase received the necessary federal approvals in April, with an effective date of Jan. 1, 2025.
  
• We continue to work with our claims system developers on a plan for issuing “top-off” payments for adjusted claims we received between January and when CarePay went live.
  
• It is important for your nursing agency to double-check the accuracy of the claims it submits for reimbursement as we process these payments.

We understand that timely claims processing is important to you and your providers. We’re committed to resolving any issues as quickly as possible and ensuring you receive the support you need.

Thank you for your patience and partnership as we work through this transition.

If you have any questions or concerns, please don’t hesitate to contact us at (800) 322-3722. 

The new system offers faster, more efficient claims processing

Our new, centralized claims and provider management system for the Division of Specialized Care for Children (DSCC) is now live!

This upgrade is part of our continued commitment to improve service delivery and strengthen our partnerships with providers by offering faster, more efficient claims processing.

The new platform offers a new and improved Provider Portal. Please note that the new Provider Portal is not yet available for our Core Program providers.

Here is what each group of providers needs to know:

Core Program Providers

As we launch our new claims processing system, please be aware that our previous Provider Portal is no longer available.

We are currently developing a new and improved Provider Portal for our Core Program-enrolled providers. We expect to launch the new portal in the coming months. For more details, please visit our Provider Portal page.

Home Care Nursing Agencies

Our new claims processing system combines NurseNet and the new Provider Portal into a single, streamlined solution to make managing claims easier and more efficient.

If your agency has not yet completed the Provider Portal Access form, please have a designated representative do so as soon as possible.

Please include all users your agency would like to access NurseNet, the Provider Portal or both. Once you sign the form electronically, it will automatically go to DSCC for review.

For more details about how to register and log in, please visit our Provider Portal page. You will also be able to find resources for using the new Provider Portal, including a tip sheet and how-to videos.

Our NurseNet site will be unavailable during scheduled maintenance from May 1-11

The Division of Specialized Care for Children (DSCC) will implement a new claims processing system in May.

Our Provider Portal, a part of the new system, will improve our claims submission and provider management by integrating with our NurseNet site to consolidate all DSCC tools for providers in one place.

As part of this rollout, NurseNet will be unavailable while we link it with the new Provider Portal.

Maintenance Period

NurseNet will be unavailable during the following period:

• Start date: Thursday, May 1, 2025
• End date: Sunday, May 11, 2025

What Families Need to Know

• During the maintenance, NurseNet will be unavailable.  

What Nursing Agencies Need to Know

• During the maintenance, NurseNet will be unavailable.
  
• The Provider Portal testing site will still be available to test submitting claims.
  
• Following the launch of the new claims processing system, all DSCC applications, including NurseNet, will exist in the new Provider Portal. 
  
• If you have not yet, you can register for the new Provider Portal at any time. Please see our provider notice from April 18 for instructions.

Thank you for your patience during this downtime.  

Our DSCC team is dedicated to completing this process swiftly and effectively so that we can bring you an improved experience.  

If you have any questions or concerns about the NurseNet downtime, please email dsccexternalhelp@uic.edu. 

Families can also talk to their DSCC Care Coordinator about any needs or issues with their in-home nursing. 

We appreciate your partnership and understanding!