# 23 Ill. Adm. Code 20700.2070.60: Section 2070.60 Provider Qualifications/Credentialing and Enrollment

> Illinois · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T23_P20700_S2070_60

## Section

- **Citation:** 23 Ill. Adm. Code 20700.2070.60
- **Heading:** Section 2070.60 Provider Qualifications/Credentialing and Enrollment
- **Jurisdiction:** Illinois
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Illinois Administrative Code / Title 23  /  / Part 20700  / Section 2070.60 Provider Qualifications/Credentialing and Enrollment

## Text

TITLE 23: EDUCATION AND CULTURAL RESOURCES
SUBTITLE A: EDUCATION
CHAPTER XI: DEPARTMENT OF EARLY CHILDHOOD
PART 2070 EARLY INTERVENTION PROGRAM
SECTION 2070.60 PROVIDER QUALIFICATIONS/CREDENTIALING AND ENROLLMENT
Section 2070.60  Provider
Qualifications/Credentialing
and Enrollment
a)         Credentialing and enrollment, as set forth in this Part, is
only for the purpose of providing and being reimbursed for EI services as set
forth in this Part. It is not a license.
b)         An individual shall meet the pertinent licensing, degree,
education and/or certification requirements for the service to be provided, as
set forth in Appendix C, as well as the requirements set forth in this Section,
in order to qualify for and maintain a credential to provide EI services.
Credentialed providers must also enroll in order to be reimbursed for services.
c)         To be credentialed and maintain the credential the individual
shall also:
1)         not be delinquent in paying a child support order as specified
in Section 10-65 of the Illinois Administrative Procedure Act [5 ILCS
100/10-65];
2)         not be in default of an educational loan in accordance with
Section 3 of the Education Loan Default Act [5 ILCS 385/3];
3)         not have served or completed a sentence for a conviction of
any of the felonies set forth in Section 25(a) and (b) of the Health Care
Worker Background Check Act [225 ILCS 46] within the preceding five years (see Section
50-10 of the Illinois Procurement Code [30 ILCS 500]);
4)         not have been determined to be a perpetrator of an indicated
incident of child abuse or neglect in an investigation by Illinois under the
Abused and Neglected Child Reporting Act [325 ILCS 5] or by another state under
that state's laws for at least the previous five years;
5)         be in compliance with pertinent laws, rules, and government directives
regarding the delivery of services for which they seek credentialing
be a perpetrator of an indicated
incident of child abuse or neglect in an investigation by Illinois under the
Abused and Neglected Child Reporting Act [325 ILCS 5] or by another state under
that state's laws for at least the previous five years;
5)         be in compliance with pertinent laws, rules, and government directives
regarding the delivery of services for which they seek credentialing.
d)         Applicants for a credential shall consent to a background
check as set forth in 89 Ill. Adm. Code 385.30(c) through the Illinois
Department of Children and Family Services, consisting of review of
CANTS/SACWIS, Illinois Sex Offender Registry and criminal history.
e)         Temporary
Credential
An individual
who is not currently credentialed and has submitted an application to the
Department's credentialing office, including an acceptable plan for ongoing
professional development as required in subsection (k)(2), and has met the
pertinent requirements provided in Appendix C, as well as documentation of
completion of EI systems training as defined in subsection (f)  and other
requirements in this Part, will be issued a temporary credential and may
provide EI services.
f)         EI
Systems Training
1)         In order to qualify for a credential, an individual must
document the completion of EI systems training as required and provided by the
Department.  Parent Liaisons and Service Coordinators must complete this
training within 90 days after the receipt of the temporary credential for such
service
sued a temporary credential and may
provide EI services.
f)         EI
Systems Training
1)         In order to qualify for a credential, an individual must
document the completion of EI systems training as required and provided by the
Department.  Parent Liaisons and Service Coordinators must complete this
training within 90 days after the receipt of the temporary credential for such
service.  This training shall include at least:
A)        Practice and procedures of private insurance;
B)        The role of the regional intake entities, service coordination,
program eligibility determinations, family fees, All Kids, and the Division of
Specialized Care for Children (DSCC) applications, referrals and coordination
with EI, and procedural safeguards;
C)        Introduction to the EI Program, including provider enrollment
and credentialing, overview of EI Program policies and regulations, and billing
requirements; and
D)        Evaluation and assessment of birth-to-three children,
individualized family service plan development, monitoring and review, EI
philosophy and best practices, and quality assurance.
2)         A temporary credential may be issued to  a Parent Liaison or
Service Coordinator, who shall document completion of training as required and
approved by the Department, within 90 days after the receipt of the temporary
credential for such service.  This training shall include at least the EI
systems training, set forth in subsections (f)(1)(A) through (D), as well as:
A)        Use of
the management information system;
B)        Regional
intake entity operating philosophies and procedures; and
C)        Transition.
Extensions of up to 90 days may be
granted upon written request setting forth facts concerning noncompliance with
this requirement. The Department's credentialing office will consider extreme
hardship and other extenuating circumstances and determine if an extension
should be granted on an individual basis
Regional
intake entity operating philosophies and procedures; and
C)        Transition.
Extensions of up to 90 days may be
granted upon written request setting forth facts concerning noncompliance with
this requirement. The Department's credentialing office will consider extreme
hardship and other extenuating circumstances and determine if an extension
should be granted on an individual basis.
g)         Education
1)         Individuals
who hold a credential on July
1, 2007, other than individuals who hold a professional license in the State
of Illinois, as set forth in Appendix C, as part of the first subsequent
credential renewal application process, must provide documentation of the
completion of educational experiences, as approved by the Department, that
include at least two semester college hours or the equivalent (30 clock hours
or continuing education unit (CEU) credit hours) in each of the following EI
core knowledge content areas.  Parent Liaisons are not required to provide this
documentation.
A)        The
Development of Young Children:  Typical and Atypical;
B)        Working
with Families of Young Children with Disabilities;
C)        Intervention
Strategies for Young Children with Special Needs; and
D)        Assessment
of Young Children with Special Needs.
2)         To
qualify for a temporary credential, developmental therapists must document
completion of educational experiences, as approved by the Department, that
include at least two semester college hours or the equivalent (30 clock hours
or CEU credit hours) in each of the EI core knowledge content areas listed in
subsection (g)(1).  As of July
1, 2007, all other applicants for a temporary credential, other than
individuals that hold a professional license in the State of Illinois, as set
forth in Appendix C, shall document completion of these educational experiences
within 18 months after issuance of a temporary credential
or CEU credit hours) in each of the EI core knowledge content areas listed in
subsection (g)(1).  As of July
1, 2007, all other applicants for a temporary credential, other than
individuals that hold a professional license in the State of Illinois, as set
forth in Appendix C, shall document completion of these educational experiences
within 18 months after issuance of a temporary credential.  Extensions of up to
six months may be allowed upon request in writing, received at least 30 days
before the expiration of the credential, setting forth the facts concerning
noncompliance with this requirement.  The Department's credentialing office
will consider hardship and other extenuating circumstances and determine if an
extension should be granted on an individual basis.
h)         Consultation Requirement Either Prior to or During Temporary
Credential
1)         In order to qualify for full credential, an individual must
complete and document consultation while providing 240 hours of direct
services, for which they are being credentialed, to children ages birth to
three with special needs and their families, except that Developmental Therapists/Vision,
Orientation and Mobility Developmental Therapists, Developmental Therapists/Hearing,
and providers credentialed under the EI service categories of Clinical
Assessment, Counseling and other Therapeutic Services, Nursing, Nutrition and
Social Services, as defined in Appendix C, need only document 120 hours.
Documentation must show that the individual participated in consultation with
an appropriately experienced individual of the same discipline/EI service group
who has experience working with children ages birth to three with special needs
and their families.  The consultation shall be in compliance with the
professional standards of the individual seeking the credential, as determined
and documented by the consultant
that the individual participated in consultation with
an appropriately experienced individual of the same discipline/EI service group
who has experience working with children ages birth to three with special needs
and their families.  The consultation shall be in compliance with the
professional standards of the individual seeking the credential, as determined
and documented by the consultant.
2)         Individuals who do not meet the consultation requirement in
subsection (h)(1) shall complete and document such experience within 18 months
after issuance of their temporary credential.  Extensions of up to six months
may be granted upon written request, received at least 30 days before the
expiration of the credential, setting forth the facts concerning noncompliance
with this requirement.  The Department's credentialing office will consider
extreme hardship and other extenuating circumstances and determine if an
extension should be granted on an individual basis.
i)          Full Credential
Once an
individual with a temporary credential has documented satisfactory completion
of the requirements in subsections (g) and (h), as well as the ongoing
professional development requirement in subsection (k)(2), he/she is eligible
to be fully credentialed.
j)          Evaluation and Assessment Services
Evaluation and
assessment services for the purpose of determining initial eligibility,
participating in the development of an initial comprehensive IFSP, and adding
new types of services to existing IFSPs must be provided by a provider with a
credential for Evaluation/Assessment as set forth in Appendix C in addition to
an EI Specialist credential in the discipline required by the service being
evaluated.
k)         Renewal of Credential
Full
credentials are valid for three years.  60 to 90 days before his/her credential
expires, a provider shall submit a renewal application to the Department in a
form required by the Department
credential for Evaluation/Assessment as set forth in Appendix C in addition to
an EI Specialist credential in the discipline required by the service being
evaluated.
k)         Renewal of Credential
Full
credentials are valid for three years.  60 to 90 days before his/her credential
expires, a provider shall submit a renewal application to the Department in a
form required by the Department.  To qualify for renewal, the provider must
have met and provide documentation of the following continuing professional
education and development activities, as well as documentation of maintenance
of pertinent licensure/certification requirements and compliance with this
Part.  Failure to receive a renewal notice from the Department shall not excuse
the submission of a renewal application for one's credential.
1)         Continuing Professional Education
During the
three years that the full credential is valid, a credentialed provider shall
receive a total of 30 hours of continuing professional education as approved by
the Department.  Up to 20 of those hours shall be provided by the Department,
or its training designee.  The provider credential notification and renewal
letters will define the number of hours that shall be provided by the
Department or its training designee.  The remaining training hours shall
include one or more of the EI core knowledge content areas set forth in
subsections (g)(1)(A) through (D).  Extensions of up to three months may be
granted upon written request, received at least 30 days before the expiration
of the credential, setting forth the facts concerning noncompliance with this
subsection (k)(1).  The Department's credentialing office will consider extreme
hardship and other extenuating circumstances and determine if an extension
should be granted on an individual basis.  The extension shall not extend the
time within which the subsequent year's training requirements must be received
ation
of the credential, setting forth the facts concerning noncompliance with this
subsection (k)(1).  The Department's credentialing office will consider extreme
hardship and other extenuating circumstances and determine if an extension
should be granted on an individual basis.  The extension shall not extend the
time within which the subsequent year's training requirements must be received.
2)         Ongoing Professional Development
A)        A credentialed provider (including temporary) shall participate
in a system of ongoing professional development that  includes a once a month non-billable
meeting held either face-to-face or over the telephone with either an
individual specialist-level credentialed provider or a group, of which at least
one member is a specialist-level credentialed provider in order to facilitate
best practices through case review.  Each provider shall submit an ongoing
professional development plan with his/her initial and renewal credential
application in a format provided by the Department, and shall also report
ongoing professional development activities when moving from temporary to a
full credential status and upon credential renewal to the Department's
credentialing office or upon request of the Department or its designee in a
format provided by the Department.  Documentation of ongoing professional
development must demonstrate that a credentialed provider participated in
ongoing professional development meetings in at least 75 percent of the months
in his/her temporary or full credential period.
B)        Service Coordinators and Parent Liaisons employed by regional
intake entities shall participate in ongoing professional development
experience as defined and implemented through a contractual agreement between
the Department and the regional intake entity, instead of the requirement of
this subsection (k)(2)
st 75 percent of the months
in his/her temporary or full credential period.
B)        Service Coordinators and Parent Liaisons employed by regional
intake entities shall participate in ongoing professional development
experience as defined and implemented through a contractual agreement between
the Department and the regional intake entity, instead of the requirement of
this subsection (k)(2).
l)          Restoration
of Lapsed Credential
A credential
that has lapsed for one year or less may be restored upon application proving
the receipt of 30 hours of continuing professional education, as continuing
professional education is defined in subsection (k)(1), and documentation of
ongoing professional development as defined in subsection (k)(2).
m)        Enrollment
Credentialed
providers (including temporary) must enroll with the Department in order to
bill and receive payment for EI services.  Enrollment requires the payee entity
to enter into a Service Provider Agreement  with the Department that
establishes the duties, expectations, and relationships between the Department
and the Individual Provider or the Provider Agency.  Providers shall submit an
enrollment application packet at the same time they submit an application for a
credential.  Providers credentialed as an "associate", as defined in
Appendix C, are not required to enroll, but shall be supervised by a specialist
who is credentialed and enrolled in the same discipline, as set forth in
Appendix D.  The payee entity will bill for the services provided by the associate
level provider under the name of the associate's supervisor.  The payee entity,
supervisor and associate will comply with all directives and policy and
procedural changes.  Failure to receive Department payments, directives and
policy and procedural changes, due to failure to comply with this subsection,
shall not excuse compliance with those directives and changes
s provided by the associate
level provider under the name of the associate's supervisor.  The payee entity,
supervisor and associate will comply with all directives and policy and
procedural changes.  Failure to receive Department payments, directives and
policy and procedural changes, due to failure to comply with this subsection,
shall not excuse compliance with those directives and changes.
n)         Change of Name or Address
Credentialed providers shall notify the Department's credentialing office
of any change of name or address within 30 days prior to billing under the new
name and/or address, or 30 days after such change, whichever comes first.  Correct
information is  required for a provider to receive payment for services.
o)         Providers shall also enroll with HFS to become an All Kids
provider, simultaneously with EI enrollment.
p)         An individual applying for or renewing enrollment shall state
whether he or she is also enrolled as a DSCC provider.
q)         Termination
of Credential/Enrollment
1)         Credentialing/enrollment, as set forth in this Section, is not
a license. Rights of credential and enrollment are set forth in the Service
Provider Agreement.  In addition to the provisions of this subsection (q), the
Department may exercise any rights it has under the Service Provider Agreement
to terminate the agreement.
2)         The following shall result in immediate automatic termination
of a provider's credential and enrollment:
A)        Failure to comply with the requirements of subsection (g)
and/or (h) within the time period or within a Department-granted extension not
exceeding the maximum extension time allowed.
B)        Failure to successfully enroll in, exclusion from or
termination from participation in All Kids and/or other programs of federal or
State agencies.
C)        Lapse of credential/enrollment  for over 1 year without
complying with subsection (l) or failure to bill for services for more than 12
consecutive months
tment-granted extension not
exceeding the maximum extension time allowed.
B)        Failure to successfully enroll in, exclusion from or
termination from participation in All Kids and/or other programs of federal or
State agencies.
C)        Lapse of credential/enrollment  for over 1 year without
complying with subsection (l) or failure to bill for services for more than 12
consecutive months.
D)        Suspension or termination of the license and/or certification
required for the service for which one is credentialed.
E)        Failure to meet or maintain other credential and enrollment
requirements set forth in this Section.
3)         The following shall also result in termination of a provider's
credential and enrollment:
A)        Failure to comply with provisions of this Part, or with EI Service
Provider Agreements, or with other laws and regulations relevant to the
services for which there is a credential.
B)        Unprofessional conduct.
C)        Complaints the Department has determined are founded and
significant.
D)        Professional performance not consonant with recognized standard
of care or adverse action of a professional society or other professional
organization.
E)        Lack of timely cooperation regarding the submission of and
adequacy of reports, the development of appropriate goals and objectives and
the development of  multidisciplinary treatment plans.
F)         Inappropriate billing practices.
4)         The provider shall be notified of the date of termination and
the reason, and shall help to transition clients to new providers.  The
provider may request an informal hearing, but the request shall not affect the
termination date, which may proceed prior to the informal hearing.  The request
must be made within 30 days after the notice of the termination.
5)         The provider may present relevant information, witnesses and
evidence to the Secretary or his/her designee, in person or in writing
lients to new providers.  The
provider may request an informal hearing, but the request shall not affect the
termination date, which may proceed prior to the informal hearing.  The request
must be made within 30 days after the notice of the termination.
5)         The provider may present relevant information, witnesses and
evidence to the Secretary or his/her designee, in person or in writing.  The
Secretary or the designee will review the information presented and any
supplemental investigation performed by the Department and issue a decision
within 30 days after the hearing.
6)         The decision of the Secretary or the designee shall be final.
r)          The Department may deny an application for credential and
enrollment or a Service Provider Agreement if the applicant's past conduct
resulted in the termination of his or her credential and enrollment or Service
Provider Agreement.  An applicant may appeal a denial for a credential and
enrollment or Service Provider Agreement based on a prior termination pursuant
to subsection (q).

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- [23 Ill. Adm. Code 20700.2070.60 Section 2070.60  Provider Qualifications/Credentialing and Enrollment](https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T23_P20700_S2070_60.md)
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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_IL_IAC_T23_P20700_S2070_60. Check the current official text before relying on it. Not legal advice.